If a claim is denied because of extra diagnosis codes on the CMS form that are irrelevant to the medical code, do you fix that and resubmit, or do we?
Applied Medical Systems
We would fix that. We have certified coders on board who are comfortable editing the coding on a claim (within the bounds of proper coding and compliance) to the payers’ tastes. As always, if we aren’t sure what the provider is trying to say to the payer, we’ll query them.
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