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Gastroenterology Coding Alert

Reader Questions:

Highlight the Most Vital Info on a Claim

Published on Mon Aug 25, 2008

Question: I am trying to come up with a list for my gastroenterologists to follow before they submit an op report to the coding department. Is there a short list I can give them with the most important elements of a successful claim?Idaho Subscriber Answer: Experts suggest that you need four things to translate notes and numbers on an operative report into dollars on a claim:• Make certain the notes are legible. • Make certain the notes are given to the coder before she processes the claim.• Don't submit any claim to the coding department unless the gastroenterologist who provided the service has finished filling out the op report and included all notes and other documents.• Make certain the notes include any unusual circumstances surrounding the patient visit. If you have this information from your physicians, you should have a much greater chance of claim success.
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