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  • Posting Date: 01/14/2025
    CO-16

    Avoiding/Correcting This Error We were unable to process this claim do it missing a required modifier for the CPT/HCPCS submitted.                                 [...]

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  • Posting Date: 04/03/2025
    Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information

    Are you responsible for looking up whether a service is covered in the Medicare Program at your facility but you're not sure where to look for the most relevant information? As a healthcare provider, you are responsible for understanding and [...]

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  • Posting Date: 04/03/2025
    CO-109

    Avoiding/Correcting This Error This denial is received when your Medicare patient is enrolled in an MA plan, instead of “traditional fee-for-service” Medicare. MA plans are health plans offered by private companies approved by Medicare [...]

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  • Posting Date: 01/17/2025
    CO-109

    Avoiding/Correcting This Error During patient registration it’s important for office staff to identify whether a beneficiary’s claims should be covered by another contractor.  Providers shall use NGSConnex to verify patient eligibility [...]

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  • Posting Date: 03/03/2023
    LCD Open Meeting Records

    Open Meeting Records Jurisdiction 6 and Jurisdiction K Open Meeting Records Meeting Date Audio Transcript 3/13/2025 – J6/JK Open Meeting Recording Transcript  10/24/2024 – J6/JK Open Meeting [...]

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  • Posting Date: 01/15/2025
    CO-16

    The group practice information is either missing from this claim or invalid group information has been entered.   Verify Items 33-33b on the CMS-1500 claim form, or its electronic equivalent the following information, on the claim, from [...]

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  • Posting Date: 01/15/2025
    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 [...]

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  • Posting Date: 05/25/2022
    Illinois, Minnesota, Wisconsin

    Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]

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