Transcription of Billing Guide FINAL - AABB
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October 2007 1 October 2007 2 Copyright by the American Association of Blood Banks. All rights reserved. This Guide is intended solely for use as a tool to help hospital and physician Billing staff in resolving reimbursement issues. Any determination about whether and how to seek reimbursement should be made solely by the appropriate members of the hospital or Billing staff in consultation with the physician and in light of the procedure performed on a particular patient and supported by the patient s medical record. Use of codes that result in higher reimbursement than is supported by the patient s medical record is prohibited by law. AABB does not endorse the use of any particular diagnosis or procedure code(s).
October 2007 8 II. OVERVIEW OF INSURER COVERAGE AND REIMBURSEMENT OF BLOOD PRODUCTS AND RELATED SERVICES Coverage of a blood product or service refers to a decision by an insurer organization to provide program
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