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Unspecified vs Other

  1. #1
    Arrow Unspecified vs Other
    Exam Training Packages
    I was just informed that Medicare/Medicaid prefer to pay "other" as opposed to Unspecified. Can someone confirm this?

  2. #2
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    I didn't see anything definitively stating this...only to code to the greatest degree of accuracy and completeness; which we know to do.

    Section 10

    http://www.cms.hhs.gov/manuals/downloads/clm104c23.pdf

  3. #3
    Default Thanks
    Quote Originally Posted by rebeccawoodward View Post
    I didn't see anything definitively stating this...only to code to the greatest degree of accuracy and completeness; which we know to do.

    Section 10

    http://www.cms.hhs.gov/manuals/downloads/clm104c23.pdf
    Thanks Rebecca -

    I was told this yesterday. I searched the CMS' website and did not see anything pertaining to this. I know we have gotten a few denials with using "unspecified" and changed it to "other" and got paid for it. I guess, it's upto whoever gets our claims that day.

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