Question and answer
Should all payers be required to make standardized rules for coding or should each payer be allowed to designate the types of codes they require for each type of patient status?
As a biller having standardized coding rules would remove a lot of uncertainty. Only government entities- aware of that could mandate such coding standardized rules would be an agency like the Department of Health and Human Services, [ or the Centers for Medicare and Medicaid Services. And that any effort to regulate would encounter opposition and lobbying against by the payers. That may be an
effort a government agency wouldn't want to take on. ]
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Original conversation
User: Should all payers be required to make standardized rules for coding or should each payer be allowed to designate the types of codes they require for each type of patient status?

Weegy: As a biller having standardized coding rules would remove a lot of uncertainty. Only government entities- aware of that could mandate such coding standardized rules would be an agency like the Department of Health and Human Services, [ or the Centers for Medicare and Medicaid Services. And that any effort to regulate would encounter opposition and lobbying against by the payers. That may be an effort a government agency wouldn't want to take on. ]
mythmoh|Points 5339|

User: The use of both CPT and ICD-9-CM-Vol.3 codes can be required by the payer. Should all payers be required to make standardized rules for coding or should each payer be allowed to designate the types of codes they require for each type of patient status?

User: The use of both CPT and ICD-9-CM-Volume 3 codes can be required by the payer. Should all payers be required to make standardzed rules for coding or should each payer be allowed to designate the type of codes they require for each type of patient status?



Weegy: Not all procedures that are performed in a hospital are inpatient services. [ Patients who receive services on an outpatient basis, such as walk-in laboratory tests, have their healthcare claims submitted with HCPCS codes to describe the services received. Inpatients are patients who are admitted to the hospital and stay at least overnight. Patients can be admitted to a hospital overnight solely for observation. Any services these patients receive are described by the use of HCPCS codes because they do are not in an inpatient treatment status. ]
Expert answered|AvenJom|Points 115|

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Asked 10/1/2012 7:56:19 AM
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