Insurance carriers are using a wide array of rationales relating to diagnosis codes to deny or delay claims payments. These include ICD-10 deemed mutually-exclusive code combinations, unspecified or not specific enough codes, deleted codes, procedures billed without diagnosis codes to support them by anatomical location and more. In this presentation we will review the most common of these and how to remedy them as well as answer your questions.
David Klein, CPC, CPMA, CHC, is the ANJC’s coding and compliance consultant. He is the co-founder of PayDC, a web-based Electronic Health Records Practice Management system that focuses on compliance and reimbursement. He is a certified professional coder through the American Academy of Professional Coders (AAPC) and is certified in healthcare compliance through the Health Care Compliance Board (HCCB). He is also the Founder and President of DK Coding & Compliance, Inc. a health care consulting firm that focuses on audit defense, education, compliance and reimbursement issues.
