|Rejection Message||Rejection Details||Resolution|
PER CCI GUIDELINES PROCEDURE CODE
REVIEW DOCUMENTATION TO DETERMINE IF A MODIFIER OVERRIDE IS APPROPRIATE
This rejection indicates that the claim has not passed “Smart Edits” put in place by the payer.
Smart Edits are based off of Correct Coding Initiative (CCI) rules and are designed to identify claims considered “Certain to Deny” due to billing issues.
Please review the claim to verify it is being billed appropriately. If your biller disagrees with the edit, you can simply rebill and resubmit the claim (without
Tip: Most Kareo PM subscription levels include access to a free code scrubbing tool on the Encounter. Utilizing this feature for all encounters can help prevent code rejections.
Note: Kareo Support cannot provide coding assistance. Please contact your biller/coder with any CPT or ICD code questions.
Update the claim/encounter information (if