My opinion is that knowingly submitting a claim that is coded incorrectly is fraud. "Coding to get paid" is always wrong (with the exception of those payers who give you specific instructions). I thinks it's okay to recode if the claim was coded incorrectly the first time. I also think it's okay to recode as many times as it takes until it's coded correctly. However, if you do this routinely, i would expect auditors to come knocking. At the very least I would expect one of those infamous "re-education" letters from my Medicare carrier. i'm not sure how recoding and billing as a new claim would ever get you past timely-filing requirements but if a claim has been recoded, I think you should follow the payer's corrected claim guidelines.
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