Question: Why do clinicians have to include diagnosis codes ( in addition to procedure codes ) when submitting claims for medical services to CMS ? Group
Why do clinicians have to include diagnosis codes in addition to procedure codes when submitting claims for medical services to CMS
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The IRS crosschecks diagnoses against patient income tax deductions for medical care.
CMS uses diagnosis and procedure codes to assess the competence of clinicians.
Diagnosisrelated data is transmitted to the Centers for Disease Control and Prevention so it can detect trends.
CMS will not pay for procedures that dont relate to the diagnosis.
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