What is the meaning of the CMS Medicare Claim Denial Reason
Code?: OA-22, OA22, OA/22 - This care may be covered by another
payer per coordination of benefits.
What You Should DO:
1. Verify if the patient is still working or the spouse is still working. If the
beneficiary or the spouse is still working, either full time or part time, they
are normally covered through their employer group.
2. Check with the patient if there is a motor vehicle or workers'
compensation claim open for the patient. If the reason for the visit is related
to an motor vehicle or workers' compensation claim, then Medicare is a
secondary coverage for the patient.
Useful References: CPT Code Books, CMS Website (www.cms.gov), CCI
Quarterly Updates, CPT Assistant Publications, Diagnosis Code Books