Guidelines

sm9jack

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Can someone please provide me with a web site I can go to and get the Federal, Legislative, Executive and Judicial guidelines for coding. I am trying to justify payment of claims while an edit from McKesson is denying the claim. Also anything you can provide regarding bundling would be helpful. email me at jacqueline.smith@healthmarkets.com Thank you.
 

Susan

Expert
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Chandler, AZ
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Jacqueline;

In addition to the CMS website and the CCI website, I would check with the payer to see if they have specific guidelines regarding certain codes submitted for reimbursment. I have found when I receive a denial from a carrier I will actually go to their website first and pull the guidelines up from them and then if needed go to the CMS and/or CMS website. Good Luck!
 
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