Learning center: Events overview
Read general information, as well as information on webinars, handouts, and completion certificates.
Claims: Adjusting, reopening, cancelling, and resubmitting
View reasons and scenarios for adjusting, reopening, cancelling, and resubmitting claims.
Tips to prevent claim adjustment reason code (CARC) CO 97
There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...
Reject reason codes
A status R claim is a claim that was rejected for reasons such as Medicare eligibility, billing issues like overlapping with...
Tips to prevent reject reason code U5233
Read this article for tips on how to prevent reject reason code U5233.
Tips to prevent RTP 32400 to 32404
Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or...
E/M: Reviewing amount and/or complexity of data
The AMA Levels of Medical Decision Making table indicates: Each unique test, order, or document contributes to the combination...