How Do you Handle Claim Denial Due to Global Surgery Package? Condition/Procedure May Be Unrelated to the Previous Surgery.
As we know Medicare's Denial Reason Codes:
CO-B15 Payment is included in the allowance for the basic service/procedure.
CO-97 Payment is included in the allowance for another service/procedure
Here is a very useful tool for you to check the if you can resubmit the claim as corrected claim (if there is a correction you can make). This tool will help you determine if you can correct the claim by using the proper modifier for Global Surgery Package.
I hope this will help. You can also visit my professional website at www.justmypassion.com!My website have been helping medical billers, coders and practice offices since 2006!
Read the Disclaimer
My blog is for Informational, Communication, Training and Educational Purposes ONLY.
DISCLAIMER
CPT codes, descriptions and other data are copyrights, owned, maintained and are trademark of the AMA (American Medical Association).
~~~~ ** ~~~~
It is in NO way replaces the physicians' documented medical encounter and procedure rendered on the patient.
I do not provide legal and medical health services.
I am NOT an attorney or a physician.
I am not affiliated, working or in relation with any government agencies and offices such as the Center for Medicare and Medicaid Services and the OIG.
I am not affiliated, working or in relation to the American Medical Association.
I am not affiliated, working or in relation with any insurance companies, carriers including the third party payors.
If you DO NOT agree on this disclaimer, I request you to leave this blog immediately.
If you are an owner of any intellectual proprietary, or website link and if you think this is in error that I have linked to your site or have posted your materials-- please do not hesitate to email me at: ms.pinky@justmypassion.com. It will immediately be removed in less than 24 hours.
Always consult your local carrier's coverage determination, you insurance and 3rd party payor's policies and guidelines.
