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HOW THE HEALTHCARE COMMON PROCEDURE CODING SYSTEM CAN COST YOU MONEY

As all adjusters and examiners working within an insurance company know, both automobile no-fault claims and workers’ compensation claims come with inherent complexities and intricacies. Besides being responsible for indemnifying each and every claimant, adjusters and examiners are also responsible for holding down the cost of each claim administered. Controlling claims costs and preventing overpayments and unnecessary payments is not an easy task and requires a significant portion of administrative time on each claim.  
While there are many factors that come into play when it comes to the increasing cost to administer both auto no-fault and workers’ compensation claims, one particular factor stands out. The Healthcare Common Procedure Coding System, or HCPCS, as it is commonly referred to within the industry, contains its own unique complexities that can be tricky to navigate. The time-consuming nature of reviewing provider HCPCS codes for accuracy means that adjusters and examiners may spend a significant portion of time on this aspect of many of their claims. Increased time spent on this facet of no-fault and workers’ compensation claims translates eventually to an overall increase of claims costs for an insurance company. 

https://www.northwoodinc.com/healthcare-common-procedure-coding-system-can-cost-money/


This post first appeared on Pharmacy Benefit Manager, please read the originial post: here

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HOW THE HEALTHCARE COMMON PROCEDURE CODING SYSTEM CAN COST YOU MONEY

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