Year: 2023
Resolution Number: 53
Action Taken: Disapproved
Status:
Author(s): Megan Edison, MD
Sponsor: David Whalen, MD, MPA
On behalf of: Kent County Delegation
Committee: A (Medical Care Delivery)
Resolved Section(s):
RESOLVED: That MSMS advocate with third party payors in the State of Michigan to reimburse insurance claims with reasonable documentation, even if site laterality is unspecified; and, be it furtherRESOLVED: That the Michigan Delegation to the American Medical Association (AMA) advocate with the AMA to ban third party payors from denial of insurance claims for professional services based solely on lack of site laterality specification in the ICD-10 code used for billing.
RESOLVED: That MSMS advocate with third party payors in the State of Michigan to reimburse insurance claims with reasonable documentation, even if site laterality is unspecified; and, be it furtherRESOLVED: That the Michigan Delegation to the American Medical Association (AMA) advocate with the AMA to ban third party payors from denial of insurance claims for professional services based solely on lack of site laterality specification in the ICD-10 code used for billing.
Fiscal Note: $1,000-$2,000
Resolution: View PDF for ICD-10 Coding, Site Laterality, and Denial of Claims
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