You Be the Coder:
When Can You Add Documentation?
Published on Thu May 07, 2020
Question: When we see that documentation doesn’t match a code choice, we usually go back to the pulmonologist with questions, and sometimes they’ll acquiesce, agreeing that a lower-level code should have been submitted on the claim. But other times the doctor will want to add additional documentation so the chart matches the code they want to bill. Is this okay? Codify [...]