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In our industry it is common for providers to hire a full time in-house employee or outsource to a third party billing company responsible for assigning proper ICD-10 and CPT-4 coding. These companies rely on the provider's notes to populate these codes necessary for the HCFA-1500 claim formThis process is inherently flawed. This protocol assumes that providers are experts in ICD-10 and CPT-4 coding, which of course they are not. ASMPC reviews diagnosis and coding with each provider for every patient encounter prior to billing. By reviewing the entire patient file including history, diagnostic tests and imaging, the provider and Andrew will assign the most accurate diagnosis on the claim form to receive maximum reimbursement.

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