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Thread: Recoding

  1. #1

    Default Recoding

    AAPC: Back to School
    Are physicians allowed to recode (undercode) a visit if Medicare denied a claim or if the claim is past timely filing and would to recode it and submit the claim as a bland new claim with a lower code?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I answered this in a different post but in short. You may submit a corrected claim as long as the codes are fully supported by the documentation. You cannot submit a new claim and you can never just use a lower level code. You always let the documentation tell you what the codes should be.

    Debra A. Mitchell, MSPH, CPC-H

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    By coder1 in forum Medicare Regulations
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