The Hospital Finance Podcast
Understanding condition code 42
In this episode, we are joined by Mary Devine, Director of Revenue Cycle for BESLER, to discuss the appropriate uses of condition code 42 on Medicare claims. Highlights of this episode include: background on condition code 42 and when providers should be using it, how hospitals should correctly use condition code 42, ways in which condition code 42 is impacted by the transfer rule, how the OIG has initiated audits to review the use of condition code 42, and more...