bungalowgirl
Networker
Does Medicare reimburse more or is there any other financial incentive to a provider for reporting certain diagnoses over others (ie type 1 diabetes vs type 2)?
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Wiki diagnosis/reimbursement question...
- Thread starter bungalowgirl
- Start date
dclark7
True Blue
Billing and payment for office visits is based on CPT codes, the diagnosis establishes medical necessity. Medicare does use DRGs for inpatient hospital payments, so the primary diagnosis and any co-morbidities and complications will affect payments to the hospital.
bungalowgirl
Networker
Thank you for your reply Doreen! Forgive me, I just want to be clear, you are not aware of any incentive program (temporary or for limited time) that might have been recently implemented for specialty physician providers for reporting certain dx over others? If not, I'll let this one go...
dclark7
True Blue
Not that I'm aware of.