tci Medicare Compliance & Reimbursement - 2009 Issue 7

PART B REVENUE BOOST : Brush Up on Your ICD-9 Know-How With These 3 Tips

Confused about fifth digits or V codes? Look no further. Insurers base your reimbursement on whether your claims show medical necessity -- and you can't demonstrate that without accurate diagnosis codes. Refresh your ICD-9 coding skills with three tips that make ICD-9 coding a breeze:Tip 1: Forget that fifth digit and you'll forfeit your due reimbursement. If you omit a required fifth digit when submitting ICD-9 codes, such as those for arthritis (715.00-716.99),you can anticipate claim denials, delays, and potential payer rejections. "The purpose of the fifth digit is to allow the physician to provide greater...

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