decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 9 (September)
CMS update: Avoid duplicating diagnosis codes on hard-copy claims
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Article Overview
This article summarizes a CMS reminder about hard-copy claims processing for Medicare and the need to prevent duplicate diagnosis entries on a single claim. It is relevant to billing staff, coders, and revenue cycle teams that handle paper claims or claim-scrubbing workflows, and it highlights the general type of Medicare administrative contractor response and remittance feedback that may occur when duplicate diagnosis information is present.
Why This Topic Matters
Duplicate diagnosis entries on hard-copy claims can cause Medicare claims to be returned as unprocessable, creating delays, rework, and avoidable administrative burden for providers and billing teams.
What You Will Learn
- Why CMS issued a reminder about duplicate diagnosis entries on hard-copy claims
- How claim-processing systems can contribute to duplicate diagnosis listing
- What general type of remittance feedback may signal a diagnosis-related claim error
- Why paper claim review remains important for Medicare billing workflows
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Claims processing teams
Codes Discussed
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