MEDICAL INSURANCE...-W/ACCESS
MEDICAL INSURANCE...-W/ACCESS
7th Edition
ISBN: 9781259705168
Author: VALERIUS
Publisher: MCG
Question
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Chapter 6, Problem 1LO
Summary Introduction

To discuss: The importance of code linkage with respective to health care claims.

Expert Solution & Answer
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Explanation of Solution

Importance:

  • Code linkage refers to the connection between the illness of the patient and the services. It is important as it establishes the medical requirement of the procedure.
  • The procedures and diagnosis need to be correctly or accurately linked to health care claims. It is essential as it helps the payers to analyse the connection and to find the medical needs of charges. 
  • The codes need to be documented and appropriate and also to be compliant with every payer’s rules.

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