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Hospital vs. Dr. office codes

Hi I would like to know how other facilities handle this if it comes up. Pt. has surgery. Facility coder codes the chart and off it goes. The Ins. Co. comes back and says they won't pay because the...

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Re: Hospital vs. Dr. office codes

one suggestion would be to send a copy of the chart and a letter informing the carrier that a) The doctor claim and the facility claim are separate as you are separate businesses.b) The codes you...

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Re: Hospital vs. Dr. office codes

Okay clear me on this one. Must the facility use the same DRG as the ICD used by the rendering providers in professional settings? A rendering provider might have used a cough diagnosis code for an...

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Re: Hospital vs. Dr. office codes

Also keep in mind that hospitals and offices have different coding guidelines - a r/o might be coded at the hospital, and not at the office. Also, if there was pre-admission testing or another exam...

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Re: Hospital vs. Dr. office codes

I bill for a couple of surgery centers and I know that in order for the surgical center to be paid, we have to use the exact same CPT and ICD-9 codes as the doctor did on his claim or we will not be...

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