You have requested access to member-only content.
Healthcare News: Trailblazer cites insufficient documentation as chief reason for MS-DRG 470 denials
Trailblazer Health Enterprises, LLC, the Medicare administrative contractor (MAC) for Jurisdiction 4 (i.e.,
Colorado, New Mexico, Oklahoma, and Texas) stated in a February 21 notice that about 68% of reviewed claims
billed with MS-DRG 470 (joint replacement or reattachment of lower extremity without MCC) resulted in denials.
The MAC cited missing or insufficient documentation as the reason for 96% of these denials.
This is an excerpt from member-only content. Please log in or become a member.
Please Log In
Unable to log in?
Click here to reset your password or unlock your account.
Forgot your username?
Contact customer care at customerservice@hcpro.com or call 800-650-6787, between 8 AM - 5 PM CT
Not a member? Let's fix that!
JustCoding is the continuing education website for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp, test your coding knowledge, and help you stay abreast of CMS changes.
Register to access the free content available through the JustCoding site or subscribe to a Basic or Platinum membership to access paid content on this site. Click here for more information.
For questions and support, please call customer service: 800-650-6787.