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CO-74Contractual ObligationPayment Adjustment

CO-74 Denial Code: Indirect Medical Education adjustment

IME add-on adjustment for teaching hospitals under Medicare PPS — informational.

Why CO-74 happens

  • Teaching-hospital status triggers the IME payment calculation

How to fix a CO-74 denial

  1. 1

    Reconcile against your IME factors; no action unless the factor is wrong

How to prevent it

Keep intern/resident-to-bed ratios current in cost reporting.

Drowning in CO-74 denials?

OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.

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