AAPC
CPB · Question #233
Which scenario would most likely result in a claim denial for lack of medical necessity?
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Querying and Performance
Question
Which scenario would most likely result in a claim denial for lack of medical necessity?
Options
- AMissing modifier
- BDiagnosis code does not support the procedure
- CLate filing
- DIncorrect patient demographics
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Topics
#medical necessity#claim denial#diagnosis-procedure alignment#coding