tci Medicare Compliance & Reimbursement - 2010 Issue 5

ICD-9 CODING: Stop Asking 'Which Diagnosis Code Will Get My Claim Paid?'

Instead, code directly from the medical record. Medical coders face a lot of questions each day in the course of their work, but one question you should not be asking is, "which diagnosis code should I put on this claim if I want to collect?" When Eli solicited subscribers' questions, the overwhelming majority asked questions such as, "We performed xyz procedure -- can you tell me which diagnosis codes we can report to Medicare to get this claim paid?" But this type of ICD-9 coding is backward, experts say. Instead, you should be coding based on the...

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