Gemini18
Expert
I was just informed that Medicare/Medicaid prefer to pay "other" as opposed to Unspecified. Can someone confirm this?
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Wiki Unspecified vs Other
- Thread starter Gemini18
- Start date
RebeccaWoodward*
True Blue
I didn't see anything definitively stating this...only to code to the greatest degree of accuracy and completeness; which we know to do.
Section 10
http://www.cms.hhs.gov/manuals/downloads/clm104c23.pdf
Section 10
http://www.cms.hhs.gov/manuals/downloads/clm104c23.pdf
Gemini18
Expert
Thanks
Thanks Rebecca -
I was told this yesterday. I searched the CMS' website and did not see anything pertaining to this. I know we have gotten a few denials with using "unspecified" and changed it to "other" and got paid for it. I guess, it's upto whoever gets our claims that day.
Thanks Rebecca -
I was told this yesterday. I searched the CMS' website and did not see anything pertaining to this. I know we have gotten a few denials with using "unspecified" and changed it to "other" and got paid for it. I guess, it's upto whoever gets our claims that day.