CO172 Provider specialty code not valid for this type of service
Noridian Administrative Services (NAS), the Jurisdiction D DME MAC, showed an increase in CO172 (provider specialty code not valid for this type of service)
Author
Sarah Hanna
Sarah Hanna is a reimbursement consultant and vice president of ECS Billing & Consulting, Tiffin, Ohio, and specializes in proper billing protocols, Medicare coverage guidelines and billing office procedures. She can be contacted at 419/448-5332 or [email protected].
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K0823 Group 2 standard power wheelchair
The month of May rings in a new winner in our DME MAC Attack for the highest denial rate on product code K0823 - Group 2 standard power wheelchair. NHIC -
Operations
E0260 Semi-electric hospital bed with mattress
This month in our DME MAC comparison, Jurisdiction C barely made it out of the No. 1 spot and has turned over the title to Jurisdiction D for claim denials -
Working Down Denials
CO13 / OA13: Date of death precedes date of service
There isn't too much room to dispute Medicare when you receive this denial code. -
Medicare Reimbursement
CO16: Claim/service lacks information which is needed for adjudication
CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order -
Medicare Reimbursement
CO 50: Non-covered services not deemed a medical necessity
CO 50, the sixth most frequent reason for Medicare claim denials, is defined as: non-covered services because this is not deemed a medical necessity by -
Tracking PMD Documentation
Ever since CMS began its overhaul of the rehab coverage and pricing model, power mobility providers have found themselves confused and frustrated. HME -
Downsize Those DSOs
Average Medicare DSO (Days Sales Outstanding) By Product Category DME (E0260, K0001, E0143, Etc.) 60 Respiratory (E1390, J7619, E7619, Etc.) 46 Rehab -
Downsize Those DSOs
Average Medicare DSO (Days Sales Outstanding) By Product Category DME (E0260, K0001, E0143, etc.) 64 Respiratory (E1390, J7619, E7619, etc.) 48 Rehab -
Downsize Those DSOs
Average Medicare DSO (Days Sales Outstanding) By Product Category DME (E0260, K0001, E0143, etc.) 60 Respiratory (E1390, J7619, E7619, etc.) 47 Rehab