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Briefings on Coding Compliance Strategies (Single Issue)
January 2001
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Product Description:
Medical necessity, lab tests, and responsibility–oh my!
The most common reason for payment denials and recoupment is lack of medical necessity. As for most payment and compliance questions, documentation and good communication between coders and physicians is a big part of the answer. That goes for covering ancillary services as well.
Who’s responsible?
Brad Tully, an attorney with Hooper, Lundy and Bookman, Inc., in Los Angeles, says, "The problem in coding for ancillary services comes in getting the required ICD-9-CM codes in the first place. The code has to be obtained by
