Sequestration CO253

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  Post-Operative Co-Management occurs when the Surgeon and another Provider share responsibility for a Patient's care during the surgical global period. This is tracked using Assumed and Relinquished Dates. Learn More: Novitas Solutions Post-Operative ...

• Payer Rejection: Missing Federal Sequestration Adj

  Payer Rejection: Acknowledgement/Rejected for Missing Information. The Claim Encounter is missing Information specified in the Status details and has been rejected Status: Federal Sequestration Adjustment Medicare will provide the needed adjudication ...

• ANSI Standard Transaction Codes - CO, PR, OA, PI

  Custom codes and a handful of ANSI standards are displayed in the Transaction Code Library. There is a shadow library with all ANSI standard codes for ERA and Insurance payment posting. Any ANSI standard code for Insurance payment and adjustments ...

• Adjustment Audit

  Use the Admin Custom Query for an Adjustment Audit for all CPTs® that have been written off in full by a CO Adjustment code. Report contains: Encounter, DOS, CPT, Insurance, CO, Provider ID, User ID, amount of write off / charge amount. Admin > ...

• Post PR (Patient Responsibility) Codes

  Post a PR Transaction Code instead of a CO In some cases, the balance from the Primary Insurance needs to go to the Secondary Insurance for payment consideration, but a Primary CO adjustment code will write off the balance. Example: The Primary ...