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Jurisdiction 11 Part B
Denial Resolution

The Palmetto GBA Denial Resolution tool includes resources for resolving the top claim rejections and denial reasons. Save time and resources by looking here before you pick up the phone.

  • Access denial reasons in plain language
  • Scroll through the titles to locate your procedure
  • Use the Palmetto GBA search engine to search by remark code


of 2see 25 | see 50 | see 100 Next Page >> Search this Area Search this Area
Anesthesia Services: Bundling Denials09/16/2013
Beneficiary Eligibility Denials09/16/2013
C-Reactive Protein Testing: Medical Necessity Denials09/16/2013
CERT Order Denials09/16/2013
CERT Signature Denials09/16/2013
Chest X-ray or EKG: Duplicate Denials09/16/2013
Chiropractic Manipulative Treatment: Duplicate Denials09/16/2013
CLIA Certification Number Required09/16/2013
CLIA: Laboratory Tests09/16/2013
Clinical Laboratory Procedures: Duplicate Denials09/16/2013
Code/Modifier Combination Invalid and Modifier Invalid/Missing09/16/2013
Creatinine (Blood): NCCI Bundling Denials09/16/2013
Denials: Top Reasons and Procedures09/16/2013
Diagnostic Cardiology Services: Medical Necessity Denials09/16/2013
EKG, EKG Rhythm Strip and Cardiac Echography: NCCI Bundling Denials09/16/2013
Electronic Claim Required: Denials09/16/2013
Established Patient Office Visits: NCCI Bundling Denials09/16/2013
Eye Refraction: Statutory Denials09/16/2013
E/M Services: CCI Bundling Denials09/16/2013
E/M Service: Duplicate Denials09/16/2013
E/M Service: Global Surgery Denials09/16/2013
E/M Service: Similar Services from Multiple Providers in the Same Group09/16/2013
Fecal Occult Blood Tests (FOBT): Medical Necessity Denials09/16/2013
Finger Stick, Heel Stick, Ear Stick: Bundling Denials09/16/2013
Glucose Testing: Medical Necessity Denials09/16/2013
Glycosylated Hemoglobin A1C: Medical Necessity Denials09/16/2013
Heparin: NCCI Bundling Denials09/16/2013
Hospice: Non-Attending Physician Denials09/16/2013
Hospice: Services Related to Terminal Condition Denials09/16/2013
Hot or Cold Packs: Bundling Denials09/16/2013
Influenza Vaccine Administration: Bundling Denials09/16/2013
Injection Administration: NCCI Bundling Denials09/16/2013
Injection CPT Codes: NCCI Bundling Denials09/16/2013
LDL Cholesterol: NCCI Bundling Denials09/16/2013
Lidocaine: Bundling Denials09/16/2013
Lipid Panels: Medical Necessity Denials09/16/2013
MSP: Eligibility & Denials09/16/2013
Myocardial Perfusion Imaging: Medical Necessity Denials09/16/2013
N29: Documentation Received for this Date of Service (DOS) was not Received or Was Incomplete09/16/2013
NCCI Bundling Denials09/16/2013
Night Services: Bundling Denials09/16/2013
Noninvasive Vascular Testing (NIVT): Medical Necessity Denials09/16/2013
NPI: Troubleshooting Rejections09/16/2013
Paravertebral Facet Joint Injections: Duplicate Denials09/16/2013
Paravertebral Facet Joint Injections: Medical Necessity Denials09/16/2013
Physical Therapy: Denied for Chiropractors09/16/2013
Physical & Occupational Therapy and Speech Language Pathology Caps: Financial Limitation Denials09/16/2013
Prostate Specific Antigen (PSA): Medical Necessity Denials09/16/2013
Prothrombin Time (PTT): Medical Necessity Denials09/16/2013
Provider Certification Denials09/16/2013
see 25 | see 50 | see 100 Next Page >>

 

last updated on 4/01/2014
ver 1.0.43