CO-222Contractual ObligationContractual
CO-222 Denial Code: Exceeds contracted maximum hours/days/units
Exceeds the contracted maximum number of hours, days, or units by this provider for this period.
Why CO-222 happens
- ●Contractual utilization cap reached (therapy hours, home health visits)
How to fix a CO-222 denial
- 1
Verify the contract cap and utilization to date
- 2
Request an exception where clinically necessary
How to prevent it
Track contract utilization limits in scheduling.
Drowning in CO-222 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.