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How does the adjustment mechanism operate under a gold standard?
Modifier
Changes; limits the meaning; inform third-party payers that circumstances for that particular code have been altered.
Third-Party Payers
Entities (usually insurance companies or government agencies) that pay medical expenses on behalf of the insured, rather than the patient paying directly.
ICD Codes
International codes used for the classification of diseases, providing a system for recording and identifying health conditions and statistics.
Presenting Disease
The initial condition or illness reported by a patient or observed by a healthcare provider upon first examination.
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