04/17/2018

Recent RAC Monitor Articles

This edition includes articles on......

Recent RAC Monitor articles you may find informative...

Advice for Coding Medical Necessity on Outpatient Claims

By Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-approved ICD-10-CM/PCS trainer

Don’t confuse your payer policy with providers’ medical degrees 
My recent article regarding secondary diagnosis coding and my advice to “just follow the guidelines” seems to have touched a nerve. Because it’s never quite that simple, is it? There’s the textbook answer on how we should be coding, and then there’s the reality that not all payers adhere to the coding guidelines, and they don’t all use the fields available on the UB-04. So when the textbook answer doesn’t pay claims, what’s the proper course of action?  READ MORE