CodeMap® Compliance Briefing: 11/16/2007

Editor's Welcome:

Many providers utilize automated systems to screen claims for medical necessity compliance. These systems check the combination of procedure codes and diagnosis codes included with each claim to ensure compliance with both national and local coverage policies.  If providers do not properly maintain automated compliance checkers, they run the risk of submitting false claims, missing the opportunity to collect an ABN from the beneficiary, and/or receiving denials from their Medicare contractor.

This week's briefing will discuss how CodeMap can ensure your provider's information systems stay up to date and compliant with all relevant rules and regulations.

Sincerely,

Gregory Root, Esq.

CodeMap Medical Necessity Resources

by: Greg Root, Esq.

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