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Thread: Guidelines

  1. #1

    Default Guidelines

    AAPC: Back to School
    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.

  2. #2
    Join Date
    Apr 2007



    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!
    Susan Ward, CPC, COC, CPC-I, CEMC, CPCD, CPRC
    AAPC ICD-10 Expert Trainer

    A small act of kindness a day can make someone's day special

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