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Pediatric Coding Alert

Guidelines:

Know Medical Necessity, Improve Your Coding Accuracy

Published on Thu Jun 10, 2021

But be prepared for provider-payer disagreements. Medical necessity is one of those terms that everyone thinks they know, but no one can really define. That can create plenty of problems for coding, as differences in understanding can put your pediatrician at odds with your payers. Even so, it’s important that you know what the concept means, how it informs the [...]
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