I have received several of these back and I'm not sure why they are returning unpaid.
On the OV (99214) Medicare is saying CO-B15 (Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated). Also saying on this one, M80 (Not covered when performed during the same session/date as a previously processed service for the patient.
On this same claim is 36415, 94010 and G8483
Any ideas why this has started happening all the sudden to us?
Thank you in advance