2022
DOI: 10.1101/2022.11.28.22282835
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Development of an Interactive Web Dashboard to Facilitate the Reexamination of Pathology Reports for Instances of Underbilling of CPT Codes

Abstract: Current Procedural Terminology Codes is a numerical coding system used to bill for medical procedures and services and crucially, represents a major reimbursement pathway. Given that Pathology services represent a consequential source of hospital revenue, understanding instances where codes may have been misassigned or underbilled is critical. Several algorithms have been proposed that can identify improperly billed CPT codes in existing datasets of pathology reports. Estimation of the fiscal impacts of these … Show more

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