2025年2月14日 · Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.

2023年1月25日 · Can someone please tell me what exactly MC is looking for when they deny a claim with a CO-16 denial code? I've had a few come back today and I have no idea what they want in order to get these claims paid. Thank you, Teresa

2021年7月9日 · A lot of these patients have diabetes so it doesn't seem unreasonable to check their hgb A1C. The denials all are either CO16 (claim/service lacks information which is needed for adjudication) or CO50 (noncovered services not deemed medical necessity by payer). We've never billed that test using the QW modifier so I was wondering if that's the key.

2022年10月17日 · See if your system is set to rebill automatically after 30 days. Check electronic data interchange (EDI) software settings.

2022年3月17日 · I'm located in Florida (First Coast Service Options region), is anyone else have a ton of issues suddenly this year with Medicare Secondary Payer denying all claims for CO-16/N245 denials saying something is missing about the primary insurance? We are submitting claims exactly as we always have...

2015年11月12日 · Okay, please don't post a link to lists of vague medicare denial codes, I've read through the PDF's I could find on google already and they weren't very helpful to me. I'm looking for a simple plain english definition of what the heck 835 …

2024年11月14日 · I just got off the phone with Medicare Part B. We have denials for the G0008 because we also used the 90471 on the same claim and they state it is bundling. To unbundle, the G0008 requires a modifier. Does anyone know what that modifier is?

2014年6月4日 · Hello. Our payment poster is getting CO-16 denials for the last month or so on physical therapy charges. Code range 97032-97140. I dont code for this specialty therefore I'm no expert. But we are following all the new Gcode rules and adding the modifers and have no problems until recently...

2021年6月18日 · It seems that Medicare has started denying all 96372 codes even when there is a 25 modifier on the E/M. Has anyone else been seeing this or does anybody...

The Current Procedural Terminology (CPT ®) code 11721 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Procedures on the Nails.