CodeMap® Compliance Briefing: Breaking News: 2/23/2009
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.
On Friday, February 13, 2009, CMS published change request 6383 concerning significant changes to the National Coverage Determinations that govern commonly performed laboratory procedures. As our subscribers know, NCDs play an important role in communic....
Sorry, access to this content requires a current subscription.
Click here for publications catalog.
CPT copyright 2024 American Medical Association. All rights reserved.
* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid
Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related
to any use, nonuse, or interpretation of information contained in this product.