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CodeMap® 11/16/2007 Medical Necessity Data Files

CodeMap® Compliance Briefing: 11/16/2007

Editor's Welcome:

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.

This week's briefing will discuss how CodeMap can ensure your provider's information systems stay up to date and compliant with all relevant rules and regulations.


Gregory Root, Esq.

CodeMap Medical Necessity Resources

by: Greg Root, Esq.

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* 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.

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