CEO SUMMARY: Evidence shows that adoption of ICD-10 diagnosis codes in 2015 made it possible for health insurers to track clinical laboratory testing more closely, ask more questions about those tests, and deny coverage. Increased detail about each patient’s condition has led to increased demands for medical-necessity documentation and to denied payments of as much […]
ICD-10 Gives Payers More Data About Lab Claims
Detailed procedure codes give health plans more reasons to question claims, deny coverage
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