CO-161Contractual ObligationPayment Adjustment
CO-161 Denial Code: Provider performance bonus
A positive adjustment: performance bonus paid under a quality or efficiency program.
Why CO-161 happens
- ●Quality program bonus attached to claim payment
How to fix a CO-161 denial
- 1
Post and attribute to the program; reconcile against expected bonuses
How to prevent it
Track program bonuses so finance recognizes them as earned revenue.
Drowning in CO-161 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.