Results 1 to 5 of 5

Recoding

  1. #1
    Exclamation Recoding
    Medical Coding Books
    Good morning coding world,


    after a denial, could you recode and submit with a new cliam for the same date of service. If so how many times could you recode the same date of service.

    Any info to back this up will be appreciated...


    Thanks

  2. #2
    Default
    If the codes on your denied claim were indeed incorrect, then absolutely you can submit a corrected claim! If, on the other hand, the codes were correct but the claim was denied anyway, you can't just put different codes on the claim to get it paid.
    Walker Bachman, CPC, CPPM

  3. #3
    Default
    Medicare for North Carolina has a reopening phone number you can call and correct the code or add a modifier instead of refiling the claim. Works much faster.
    Kim Reynolds, CPC

  4. Default Recoding
    Recoding a claim just to get is paid is fraud. That will be under coding to submit a new claim to get it pay. No is not correct. The claim should be appealed or written off.

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
    Default
    You may submit a corrected claim if the documentation supports codes other than what were submitted originally, however the questions that must be addressed now is why was the claim submitted with codes not supported by documentation? Be very careful about submitting corrected claims you should not have to do this a lot only when what I call a bone head mistake was made in the beginning. But on a regular basis you are sending up red flags!

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Recoding
    By mpacheco in forum Medicare Regulations
    Replies: 1
    Last Post: 03-23-2010, 03:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.