Medicare Compliance & Reimbursement

Factor in This Claims Insight to Better Ensure Appropriate Pay

The Centers for Medicare & Medicaid Services (CMS) and many other payers use ICD-10-CM to process claims, relying on diagnosis codes to demonstrate medical necessity for providers’ services. Additionally, Medicare quality reporting programs rely on accurate diagnosis coding to evaluate appropriate procedures — so missing the boat now could impact your bottom line later. As you prepare to implement the [...]
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