Missing information (CO-16) is major denial which will delay your speed of collection. Understand the basic of Missing info denial

1. Missing Info…
Denial Series

2. Missing Information
From Provider
From Patient
Coding
Provider Info
Other info
COB
Accident Info
Other

3. Provider Info
• Tax id #/NPI #
• PEC Questionnaire
• Signature missing
• Referring Provider NPI#
• Referring Provider details

4. Coding
• DX missing digits
• Modifier is missing
• Gender mismatch

5. Other info
• Medical records
• Medical necessity letter
• Accident information

6. Patient
• COB
• Accident Info
• PEC details

7. Information Required
• Date of denial
• What kind of info required?
• Fax # Attention to
• Appeal address & appeal limit
• Call ref #
• When the letter sent to Patient?
• Can we bill the patient ?