Changing a diagnosis is not like changing your socks
Effective Jan 1, 2003
Published Jan 21, 2003
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
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