Medicare Compliance & Reimbursement - 2018 Issue 8
You Be the Coder: Does This Constitute An Invalid Code?
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Article Overview
This short article addresses a billing and coding question about whether a claim may still be submitted when a code has been deleted after the service date. It is aimed at coding professionals who need to understand the relationship between date of service, filing timeliness, and code set effective dates.
Why This Topic Matters
It helps readers distinguish between a code that was valid when the service occurred and a code that was no longer valid on the service date, which affects claim acceptance and denial risk.
What You Will Learn
- How code validity is evaluated against the date of service
- How claim filing timing can relate to code deletion status
- Why code effective dates matter for accurate claim reporting
- What general scenario may lead to a denial when a code is no longer valid on the service date
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Claims processors
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