Medical Billing Forum
Medical Billing Forum - Get all of your billing & coding questions answered here!
Welcome,
Guest
. Please
login
or
register
.
Did you miss your
activation email
?
1 Hour
1 Day
1 Week
1 Month
Forever
Login with username, password and session length
News:
Special Discount Packages!
Get huge discounts on these new special packages!
Click Here for the Savings
Home
Help
Search
Login
Register
Medical Billing Forum
»
General Category
»
General Questions
(Moderators:
Alice Scott
,
Michele
) »
Claim is denied for CO-16
« previous
next »
Print
Pages: [
1
]
2
Author
Topic: Claim is denied for CO-16 (Read 3848 times)
Adnare01
Newbie
Posts: 25
Claim is denied for CO-16
«
on:
September 21, 2017, 09:02:03 AM »
Hello,
Medicare has denied a bunch of claims with CO-16 with remark codes MA125 and M136. and when i check the same claim at Medicare portal, it's paid there. I have no clue what is going on. Talked CSR at Medicare as well and they said the claim is denied.
Looking forward to get a resolution.
Regards,
Tayyab
Logged
nanap
Newbie
Posts: 18
Re: Claim is denied for CO-16
«
Reply #1 on:
September 21, 2017, 10:42:41 AM »
Well the Co16 means info is missing, The MA125 states paid in full - but does not necessarily mean a payment was made. and the M136 means Missing/incomplete/invalid indication that the service was supervised or evaluated by a physician.
I would call Medicare and ask them what specific info is missing. but my guess would be that a modifier is missing relating to the M136 denial
Logged
Adnare01
Newbie
Posts: 25
Re: Claim is denied for CO-16
«
Reply #2 on:
September 21, 2017, 11:06:01 AM »
Thanks for the response, I did call Medicare and they said they dont know what is missing. I am in dilemma that it is actually a denial or a payment
Logged
Michele
Administrator
Hero Member
Posts: 5927
Re: Claim is denied for CO-16
«
Reply #3 on:
September 21, 2017, 12:56:06 PM »
I would call back. You must have gotten a bum rep. They have all of the information in front of them. They may tell you that you have to refer to the EOB but you just need to say that you are looking at the EOB but you need clarification.
Logged
Sign Up for our FREE
Medical Billing Newsletter
Get a 10% discount on
Medical Billing Products
by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com
rballinger1
Newbie
Posts: 8
Re: Claim is denied for CO-16
«
Reply #4 on:
November 14, 2017, 01:31:32 AM »
What type of provider render the services? The only time I have ever seen the MA136 used is when the supervising physician was not properly identified in Box 17.
The qualifier DQ should be listed along with the supervising physicians name and NPI #. If the rendering provider does not require a supervising physician you might consider reviewing Box 17 to see if the DQ modifier was entered in error. If you must contact Medicare about the claim, I would ask the representative to review Box 17 and provide you with the qualifier, provider's name and NPI appearing in their system.
I understand your frustration, it is becoming more difficult to get questions answered when calling Medicare.
Logged
Medical Billing Forum
Re: Claim is denied for CO-16
«
Reply #4 on:
November 14, 2017, 01:31:32 AM »
updastE
Full Member
Posts: 139
Re: Claim is denied for CO-16
«
Reply #5 on:
October 25, 2022, 11:19:06 AM »
Most of the 789 patients who initiated CLM during endocrine therapy were from the letrozole monotherapy arm, followed by the sequential tamoxifen letrozole, letrozole tamoxifen, and tamoxifen monotherapy arms 318, 189, 176, and 106 patients, respectively <a href=http://stromectol.autos/>stromectol pill for humans</a>
Logged
stromectol dose for scabies
ZooxySeno
Jr. Member
Posts: 59
Re: Claim is denied for CO-16
«
Reply #6 on:
November 06, 2022, 08:51:48 AM »
PMID 30222235 Free PMC article <a href=http://nolvadex.one/>tamoxifen interactions</a>
Logged
what is nolvadex
unorgobug
Sr. Member
Posts: 330
Re: Claim is denied for CO-16
«
Reply #7 on:
November 17, 2022, 02:22:34 PM »
<a href=http://doxycycline.world/>doxycycline overdose</a> Phase II study of weekly paclitaxel for relapsed and refractory small cell lung cancer
Logged
doxycycline nausea
jossibe
Full Member
Posts: 247
Re: Claim is denied for CO-16
«
Reply #8 on:
November 17, 2022, 06:21:48 PM »
industry has been pushing to includeproducts such as video game consoles, GPS systems, flat paneldisplays and a new class of semiconductor chips calledmulti component semiconductors, or MCOs <a href=http://stromectol.ink/>buy stromectol</a>
Logged
stromectol uk
royagma
Sr. Member
Posts: 326
Re: Claim is denied for CO-16
«
Reply #9 on:
November 22, 2022, 01:03:12 AM »
Owen, USA 2022 04 29 05 16 01 <a href=http://lasix.autos/>lasix renal scan</a> Venezuelan Dr
Logged
taking lasix but still swelling
Medical Billing Forum
Re: Claim is denied for CO-16
«
Reply #9 on:
November 22, 2022, 01:03:12 AM »
awaixebra
Full Member
Posts: 239
Re: Claim is denied for CO-16
«
Reply #10 on:
December 08, 2022, 11:49:59 AM »
I have only one area of suspicious calcifications stage 0 and no necrosis <a href=https://propecia.hair>finasteride receding hairline</a>
Logged
best price for generic cialis
lapound
Sr. Member
Posts: 340
Re: Claim is denied for CO-16
«
Reply #11 on:
December 14, 2022, 09:30:15 AM »
however I have not been told any other results <a href=http://nolvadex.mom>tamoxifen and covid vaccine</a>
Logged
propecia hairline
piegmen
Sr. Member
Posts: 326
Re: Claim is denied for CO-16
«
Reply #12 on:
December 14, 2022, 11:00:13 AM »
Convenient Parking <a href=http://priligy.homes>cronadyn vs priligy</a>
Logged
buy priligy generic
easetty
Full Member
Posts: 141
cheaper viagra levitra cialis
«
Reply #13 on:
January 23, 2023, 01:14:18 PM »
<a href=http://brandviagra.sbs>brand viagra</a> PubMed 27799135
Logged
clomid vs nolvadex for pct
uttessy
Sr. Member
Posts: 338
Re: Claim is denied for CO-16
«
Reply #14 on:
January 25, 2023, 07:37:48 AM »
im currently on arimidex <a href=https://nolvadex.pics>clomid vs nolvadex pct</a>
Logged
buy cialis online in usa
Medical Billing Forum
Re: Claim is denied for CO-16
«
Reply #14 on:
January 25, 2023, 07:37:48 AM »
Print
Pages: [
1
]
2
« previous
next »
Medical Billing Forum
»
General Category
»
General Questions
(Moderators:
Alice Scott
,
Michele
) »
Claim is denied for CO-16