Question

Why is it important that each procedure on the CMS-1500 be matched with a diagnosis code?

Answer 1

Matching each procedure on the CMS-1500 with a diagnosis code is important to ensure targeted medical care, proper billing and reimbursement, and accurate record-keeping.

Step-by-step explanation:

Matching each procedure on the CMS-1500 with a diagnosis code is important for several reasons. Firstly, it ensures that the correct treatments and laboratory tests are ordered for the specific diagnosis, which promotes effective and targeted medical care. Secondly, it helps in proper billing and reimbursement by insurance companies, as the diagnosis code provides evidence of medical necessity for the procedures performed. Lastly, it allows for accurate record-keeping and data analysis, enabling the calculation of morbidity and mortality statistics.