CO-278Contractual ObligationPayment Adjustment
CO-278 Denial Code: Performance program proficiency not met
Payment adjusted because performance-program proficiency requirements weren't met.
Why CO-278 happens
- ●Program proficiency thresholds (testing, quality measures) unmet for the period
How to fix a CO-278 denial
- 1
Verify program standing; correct proficiency documentation and dispute if wrongly categorized
How to prevent it
Monitor program requirement deadlines and submissions.
Drowning in CO-278 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.