BC Advantage - 2015 Issue 12

All of My Codes are Unspecified

When you are an auditor, you look for unspecified codes. It is in your blood; it is in your knowledge of coding. However, with the transition into ICD-10, we should all be very cautious when selecting an unspecified code. During the 2015 implementation, AMA and CMS came to an agreement that if you were in the "specified family" of codes, your claim would be paid without question, and there would be no auditing for this period. However, ICD-10 is a new, clean slate; a slate that will become tarnished with "unspecified" codes and the same routine and pitfalls we...

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