Medical Billing and Coding Resources
What are Medicare Denial Codes? Medicare denial codes are standard messages used to provide or describe the information to a medical patient or provider by insurances about why a claim was denied. This is the standard format followed by all insurances for relieving the burden on the medical provider. MACs use appropriate group, claim adjustment […]
Basics of CO 45 Denial code CO 45: Charges exceed your contracted/legislated fee arrangement. Kindly note this adjustment amount cannot equal the total service or claim charge amount; and must not duplicate provider adjustment amounts (payments and contractual reductions) that have resulted from prior payer(s) adjudication. What is a Denial Code? Denial reason codes are […]
Claims Processing The term “claims processing” describes the course of submitting a claim to the payer and subsequent adjudication. Understanding how this process works allows physicians and staff members to file claims properly and leads to maximum and timely reimbursement. In addition, this knowledge will allow the physician’s office to serve as a resource to […]
