CO-A5Contractual ObligationPayment Adjustment
CO-A5 Denial Code: Medicare PPS capital cost outlier
Capital cost outlier amount under Medicare inpatient PPS — institutional payment math.
Why CO-A5 happens
- ●Capital outlier threshold exceeded on a high-cost stay
How to fix a CO-A5 denial
- 1
Validate against the capital outlier formula; post accordingly
How to prevent it
Informational — reconcile outliers in contract management.
Drowning in CO-A5 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.