The No. 3 denial reason code from Medicare among HME providers as reported by RemitData is CO57: Payment denied/reduced because the payer deems the information
CMS/Medicare
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
The second highest reason code for Medicare claim denials reported for HME providers is OA109: claim not covered by this payer/contractor. You must send
Lake Forest, Calif. Apria Health-care has reached a preliminary agreement with the government and whistleblowers to pay $17.6 million, without admitting