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Radiology Coding Alert

Be Aware of These 9 Reasons for Denials

The National Government Services (NGS) has listed nine reasons for reducing or denying the claims. These include the following: 1: Documentation did not meet the Local Coverage Determination (LCD) requirements 2:  The documentation lacked clinical indications to support the medical necessity of the study 3:  A bilateral study was billed but the documentation supported a unilateral study 4: Duplicate services/claims were billed/submitted 5:  The documentation [...]


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