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Old 02-06-2012, 06:36 PM
sus008 sus008 is offline
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Can anyone help me with CO-237? I seem to be getting this all of a sudden on 99212, 99213, 99214
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Old 02-06-2012, 07:56 PM
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Quote:
Originally Posted by sus008 View Post
Can anyone help me with CO-237? I seem to be getting this all of a sudden on 99212, 99213, 99214

This is how it's defined (http://www.aapc.com/memberarea/forum...ply&p=203412):

Legislated/Regulatory Penalty. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
Start: 06/05/2011

Don't know what that means, though...
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Old 02-07-2012, 06:06 AM
sus008 sus008 is offline
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No I don't know and when I call I can't find anyone to tell me. Help!
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Old 02-07-2012, 01:09 PM
ejlehman ejlehman is offline
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I would call Medicare or check the website. If the denial is unclear, always call. Never hurts and you could find out in one shot the reason for denial and what you need to do to correct it.
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Old 03-09-2012, 01:47 PM
sheilatrissel sheilatrissel is offline
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did anybody try to call medicare and find out, we just got some rejection with same code?
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Old 03-09-2012, 01:53 PM
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you need to see what the remark code is.. do you see any MA or MAO codes on your RA?
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Old 04-16-2012, 09:01 PM
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I think that is the reason code to describe that the 1% penalty for not making the e-prescribe quota (in 2011) being deducted from 2012 reimbursement.
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Old 04-19-2012, 07:31 AM
kaczmarek1 kaczmarek1 is offline
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Cardiocoder is correct. The physician needed to submit the appropriate E-prescribe reporting code at least 10 times during the first 6 months of 2011. If this wasn't done the physician needed to provide Medicare with required hardship information to show why they should not be penalized.

There is nothing you can do for the penalty you receive this year. To avoid the penalty for next year make sure the physician is reporting the required amount of E prescribe reporting codes during the first 6 months of 2012. I believe the penalty amount goes up each year to encourage everybody to use E-prescribe. I hope this information helps! Good luck

Sharon

Here is the Medicare link for additional information

http://www.cms.gov/Medicare/Quality-...ive/index.html

Last edited by kaczmarek1; 04-19-2012 at 08:10 AM. Reason: added extra information
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