CPT inconsistent with Modifier denialcode CO-4 #medicalbilling#coding #claim#insurance #healthcare

preview_player
Показать описание
PROCEDURE inconsistent with Modifier denial code CO-4 #medicalbilling#coding #claim#insurance #healthcare #patient #denialmanagement #denial #modifiers #modifier
--------------------------------------------------------------------------------------------------------------------
#MODIFIER: The 2 digit code, that provides an additional information to the service/treatment/ procedure (CPT code) without changing the original meaning of the service.

Mod Format: 2 digit Numeric or 2 digit Alpha or 2 digit Alpha Numeric.
The consistent relationship of CPT-MOD helps to Providers by getting payments from Insurance companies.

Example : 93010-26, 93010-TC, 93010-LT, 93010-RT, 93010-50, 99213-24,99213-25……..etc.
-----------------------------------------------------------------------------------------------------------------------
* The inconsistence relationship of CPT-MOD is the reason to deny the claim stating CO4: Cpt code inconsistent with Modifier.
Pre-call analysis: -Proper analysis required, verify previous Dos.
AR Caller : Probe if previously DOS got payments & ask for valid Modifier, take claim#, call ref# , close the call.
Action s: 1. Task to CODING ASSISTANCE/Review (with AR caller notes).
2. RESUBMIT the corrected claim with valid CPT-MOD relationship.

---------------------------------------------------------------------------------------------------------------------
::DEAR FRIENDS THANK YOU FOR WATCHING ! HAVE A GOOD HEALTH::
Рекомендации по теме
Комментарии
Автор

Don't stop your work. Please continue

dewananana
Автор

Amazing bro ur doing great job please continue

mohammedyaseen
Автор

Pls also explain what qstns we have to ask ?

dhanyanagarajuvitala
Автор

Sir plz explain mue adjudication indicators, could you please provide your contact nmbr sir

shivaprasadkandula
join shbcf.ru