Physician Practice

Changing a diagnosis is not like changing your socks

Physician Practice Perspective, January 21, 2003

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Much like eating ice cream for dinner, changing a diagnosis after an insurance company rejects your claim is not a smart habit to fall into. There are some situations, however, in which fixing an original diagnosis can work to your benefit and keep you free from fraud. Quinten Buechner, MS, MDIV, CPC, CHCO, president of ProActive Consultants LLC in Cumberland, WI, says there are three reasons you could legally change a diagnosis code:1. Choosing the wrong code on the claim form. An insurance company may find fault with a generic code and deny your claim. A generic ICD-9 code, for examp

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Physician Practice Perspective.

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