tci Medicare Compliance & Reimbursement - 2010 Issue 4

PART B 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?" This type of ICD-9 coding is backward, experts say.Instead, you should be coding based on the documentation -- not based on which codes your Medicare Administrative Contractor (MAC) will reimburse. "I do not feel that we as coders should be coding based on getting the claim paid," says Michelle Jubeck,CPC...

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