PRESENTATION OUTLINE
COMMON MEDICAL PRACTICE DENIALS & REMEDIES
TOP 5 MOST COMMONLY UNEXPECTED DENIED PROCEDURES ARE....
99213 OUTPATIENT
DOCTOR VISIT,LEVEL 3
99214 OUTPATIENT DOCTOR VISIT,LEVEL 4
36415 ROUTINE BLOOD CAPTURE
TOP 5 MOST COMMONLY UNEXPECTED DENIED PROCEDURES & THEIR REASON CODES ARE...
18: DUPLICATE CLAIMS/SERVICES
97:THE BENEFIT FOR SERVICE IS INCLUDED IN PAYMENT FOR ANOTHER SERVICE THAT IS ALREADY ADJUDICATED
16:CLAIMS/SERVICES LACKS INFORMATION OR HAS BILLING ERRORS WHICH IS NEEDED FOR ADJUDICATION.
96: NON-COVERED CHARGES.AT LEAST ONE REMARK CODE MUST BE PROVIDED.
22: THIS CARE MAY BE COVERED BY ANOTHER PAYER PER COORDINATION OF BENEFIT.
TOP 5 SPECIALISTS WITH MOST UNEXPECTED DENAILS
