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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 Denials04/12/2013
Beneficiary Eligibility Denials04/12/2013
CERT Order Denials04/12/2013
Chest X-ray or EKG: Duplicate Denials04/11/2013
Chiropractic Manipulative Treatment: Duplicate Denials04/11/2013
CLIA Certification Number Required04/11/2013
CLIA: Laboratory Tests04/11/2013
Clinical Laboratory Procedures: Duplicate Denials04/11/2013
Code/Modifier Combination Invalid and Modifier Invalid/Missing04/11/2013
Creatinine (Blood): NCCI Bundling Denials04/11/2013
Denials: Top Reasons and Procedures04/11/2013
Diagnostic Cardiology Services: Medical Necessity Denials04/11/2013
EKG, EKG Rhythm Strip and Cardiac Echography: NCCI Bundling Denials04/11/2013
Electronic Claim Required: Denials04/11/2013
Established Patient Office Visits: NCCI Bundling Denials04/11/2013
Eye Refraction: Statutory Denials04/11/2013
E/M Services: CCI Bundling Denials04/11/2013
E/M Service: Duplicate Denials04/11/2013
E/M Service: Global Surgery Denials04/11/2013
E/M Service: Similar Services from Multiple Providers in the Same Group04/11/2013
Fecal Occult Blood Tests (FOBT): Medical Necessity Denials04/11/2013
Finger Stick, Heel Stick, Ear Stick: Bundling Denials04/11/2013
Glucose Testing: Medical Necessity Denials04/11/2013
Glycosylated Hemoglobin A1C: Medical Necessity Denials04/11/2013
Heparin: NCCI Bundling Denials04/11/2013
Routine Physical Exams: Statutory Denials04/11/2013
Hospice: Non-Attending Physician Denials04/10/2013
Hospice: Services Related to Terminal Condition Denials04/10/2013
Hot or Cold Packs: Bundling Denials04/10/2013
Influenza Vaccine Administration: Bundling Denials04/10/2013
Injection Administration: NCCI Bundling Denials04/10/2013
Injection CPT Codes: NCCI Bundling Denials04/10/2013
LDL Cholesterol: NCCI Bundling Denials04/10/2013
Lidocaine: Bundling Denials04/10/2013
Lipid Panels: Medical Necessity Denials04/10/2013
MSP: Eligibility & Denials04/10/2013
NCCI Bundling Denials04/10/2013
Night Services: Bundling Denials04/10/2013
Paravertebral Facet Joint Injections: Duplicate Denials04/10/2013
Physical Therapy: Denied for Chiropractors04/10/2013
Physical & Occupational Therapy and Speech Language Pathology Caps: Financial Limitation Denials04/10/2013
Prothrombin Time (PTT): Medical Necessity Denials04/10/2013
Pulse Oximetry: NCCI Bundling Denials04/10/2013
Reason Code CO-125: Payment Adjusted Due to a Submission/Billing Error04/10/2013
Reason Code CO-16: Claim/service Lacks Information Needed for Adjudication04/10/2013
Reason Code CO-96: Non-covered Charges04/10/2013
Reason Code PR-17: Payment was Adjusted Because Requested Information was not Provided or was Insufficient/Incomplete04/10/2013
Skilled Nursing Facility: Not Covered by This Payer (Consolidated Billing Denials)04/10/2013
Surgical Trays: Bundling Denials04/10/2013
Thyroid Stimulating Hormone (TSH): Medical Necessity Denials04/10/2013
see 25 | see 50 | see 100 Next Page >>

 

last updated on 5/01/2013
ver 1.0.37