Dx Code: Case Study

Satisfactory Essays
Yes I'm using that. The problem is that PMG return one claim saying that the DX code that the provider select is not a valid Dx code and Medicare don't cover Diabetic code and I think that is not correct. I review the denial from MCR and the reason of why the payer denied the claim is b/c they said that the provider is not credential with Medicare and that's why I want to confirm with you before me told PMG that they need to FWD the claim back with support message on claim saying that the provider is credential with MCR and the effective date on claim.
Get Access