DecisionHealth, DecisionHealth - 2018 Issue 7 (July)

Diagnosis coding corner: Educate payers on correct follow-up coding to curb improper denials

Orthopedic coders report that some commercial payers are inappropriately denying claims for one-year follow-up visits after total joint replacement because of confusion over the Z codes being reported on claims. If this is happening at your practice, it may be time for some outreach to your payers.

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