Thursday, April 4, 2013

Payer Issues with ICD-10-CM





With the new code set we see that there are many changes. More specificity for instance means more documentation is required , which in turn means the reimbursement will possibly increase with these codes but the requirements for the higher reimbursement  will also determine how these codes are submitted.  Another thing to note just as codes may cause an reimbursement increase they may also cause a decrease in reimbursement for the ones that do not require as much documentation. This change in the code set alone will surely have an affect on your "normal" reimbursement from specific payers.

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