healthcare common procedure coding system (HCPCS) and diagnosis (DX) codes based on clinician documentation.The codermay also add a modifier based on the payer and type of procedure (CPT code). It is important to know payer guidelines and claim requirements to ensure reimbursement for the servic...
7A steady stream of govern- ment compliance require- ments (e.g., the new MS-DRG system, which has expanded the number and levels of codes; ICD-10 transition; and HIPAA v5010) and in- creased scrutiny for fraud (e.g., introduction of ...