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Maximizing reimbursement through correct coding initiatives. | LitMetric

Maximizing reimbursement through correct coding initiatives.

Diabetes Technol Ther

Endocrinology Associates, Houston, Texas 77025-5252, USA.

Published: June 2009

AI Article Synopsis

  • Understanding proper coding for continuous glucose monitoring (CGM) is essential to reduce overhead costs and improve reimbursement for healthcare services.
  • Knowledge of CPT, HCPCS, and ICD-9 coding systems is vital for accurate billing and maximizing payments for glucose monitoring procedures.
  • Thorough research into code development, modifiers, and appeal processes can enhance reimbursement rates as the use of CGM technology continues to grow.

Article Abstract

In an effort to combat ever-rising overhead costs, it is critical that one understand proper coding for continuous glucose monitoring. By understanding correct Common Procedural Terminology (CPT, American Medical Association, Chicago, IL), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-9) coding there will be an increased reimbursement for professional services. The process of code development, the use of proper modifiers along with appropriate CPT codes, and the appeal processes have been extensively researched using many different professional associations. The use of continuous glucose monitoring recently has greatly expanded, and with effective documentation, coding, and appeal procedures, there will be a greater rate of reimbursement.

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Source
http://dx.doi.org/10.1089/dia.2009.0018DOI Listing

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