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CO45 Denial
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6/3/2021 @ 4:40:00 PM
Post 1 of 2

Contributor: Jennifer Johnson, South Carolina Office of Rural Health

We are a PBRHC owned by a CAH.  We are having massive denials for 80053 and 80061 mostly with Medicare, Humana and Medicare Wellcare.  

The claim goes out on a 0851 with Rev code 0300 under our CAH.  We have other labs that are being paid for on the same claims.

 Can anyone help us figure out how to correct this? 

6/4/2021 @ 4:58:00 PM
Post 2 of 2

Contributor: Rhonda Webber, PCMH RHC - Unionville

It sounds like you are billing correctly.  What is the specific denial?


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