Claims Submission Error Help

Understand Reason Codes on Medicare Claims!
Preventing and knowing how to resolve Claim Submission Errors (CSEs) by understanding the reason codes will help expedite the processing of your claims and may save time and money.

The CSE Help tool may assist you in your compliance efforts by providing information about how to resolve incorrect denials and avoid rejections.

Data analysis reports generate the top CSEs made by providers, which shows the Top 10 denial reason codes in ranking order and the total count of denied claims. This count includes denied, rejected or returned to provider (RTP) claims. The Percent of Denied Claims are given as both including and excluding RTP claims found in T status in the Fiscal Intermediary Shared System (FISS).

Quarterly (January through March 2019) Total Denials

JM Part A Denial Code
Claim Count w/Denial Code
% Denied to Total w/any Denial Code
% Denied to Total excluding RTPs
89,339
15.7
2.4
143,742
27.2
4.0
46,986
7.3
1.3
59,341
11.3
1.6
25,731
4.8
0.7
23915
4.5
0.7
14,777
2.8
0.4
10,879
2.0
0.3
10,838
2.1
0.3
8,271
1.5
0.2

Latest Articles

of 5see 25 | see 50 | see 100        Next Page

11503 12/27/2018
12205 12/27/2018
12206 12/27/2018
12302 12/27/2018
12505 12/27/2018
12811 12/27/2018
12818 12/27/2018
1282H 12/27/2018
13314 12/27/2018
13599 12/27/2018
14610 12/27/2018
1461A 12/27/2018
15202 12/27/2018
15701 12/27/2018
17701 12/27/2018
19401 12/27/2018
30905 12/27/2018
30912 12/27/2018
30928 12/27/2018
30940 12/27/2018
30955 12/27/2018
31023 12/27/2018
31094 12/27/2018
31241 12/27/2018
   Next Page

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 



spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer