Search Results - NGSMEDICARE

Posting Date: 10/02/2024

CO-246

Avoiding/Correcting This Error This is not an error. The CPT/HCPCS code reported is used for reporting purposes only. These reporting codes are given by CMS for providers to use when documenting certain incentive plans, etc.

Posting Date: 10/02/2024

CO-B7

Avoiding/Correcting This Error There is an issue with the billing and/or rendering provider credentialing information per provider enrollment, provider information submitted on the claim and/or or the services provided are not allowed per the [...]

Posting Date: 10/02/2024

CO-B7

Avoiding/Correcting This Error The billing or rendering provider NPI is not actively enrolled with Medicare on the date(s) of service billed on the claim. Please verify the provider's Medicare effective date in PECOS. If the provider shows [...]

Posting Date: 10/07/2024

CO-16

Avoiding/Correcting This Error The CPT/HCPCS code reported is not valid for the date(s) of service billed on the claim. This may also mean that the digits or alpha characters in the code are incorrectly reported. Please review the claim and [...]

Posting Date: 10/02/2024

OA-18

Avoiding/Correcting This Error A duplicate claim submission occurs when a provider resubmits a claim either on paper or electronically for a single encounter and the service is provided by the same provider to the: same beneficiary; for the [...]

Posting Date: 10/02/2024

OA-18

Avoiding/Correcting This Error A duplicate claim submission occurs when a provider resubmits a claim either on paper or electronically for a single encounter and the service is provided by the same provider to the: same beneficiary; for the [...]

Posting Date: 10/02/2024

PR-B9

Avoiding/Correcting This Error When a Medicare beneficiary, or their authorized representative elects hospice all services related to the patient's terminal condition are handled by the hospice and not billed to Medicare Part B. If the patient [...]

Posting Date: 10/07/2024

PR-50

Avoiding/Correcting This Error The CPT/HCPCS code reported is not covered for the beneficiary, and the beneficiary is liable for these charges. If you have reported an incorrect code, or forgot a modifier, the claim will need to be reviewed as [...]

Posting Date: 10/02/2024

Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin

Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin L39513 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39513&ver=3&contractorName=1[...]

Posting Date: 10/02/2024

Pain Management

Pain Management spine, spinal, trigger, injection, ganglion L33622 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33622 A52863 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52863 A59302 [...]