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RCM Advisor

Quarter 4 2026 - Volume 31, ISSUE 4

Charge Validity vs. Coding Accuracy: Why They’re Not the Same Thing

Coding Corner

By Tammie Myers, MBA


A claim comes back denied. The coding team pulls the chart, reviews the note, checks the code against the documentation, and finds nothing wrong. Although the code is textbook correct, the claim still did not pay.

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