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erm okay so the between the router and charge review we can use an extension with rules paired with a list of diagnosis components that can re-order dx before temporary accounts receivable records are created, which is likely but not guaranteed to make the claim priority play nice and choose our
desired principal diagnosis (not to be confused with principal diagnosis on the encounter), so then payers won’t deny us for an incorrect reason for visit. however we should keep in mind that this will override the facility extension, which may lead to coverage filing order issues downstream.
this was actually more eloquent than me irl, kill me.