Medicare Compliance & Reimbursement

Compliance:

Avoid FCA Problems by Coding What’s Documented

Question: I’m a new hire at a practice that primarily sees patients concerned they have attention-deficit disorder (ADD) and/or attention-deficit/hyperactivity disorder (ADHD). My boss said that they can rarely get claims paid when the primary diagnosis is ADD or ADHD, and so all the coders for the practice should code R27.9 (Unspecified lack of coordination) as the primary diagnosis so [...]
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