Reader Question:
Never Report Incorrect Codes Just to Ensure Payment
Published on Mon Nov 21, 2011
Question: I work in the office for a urologist who also performs laparoscopic procedures. When he assists other urologists during laparoscopic procedures, we obtain the billing information from the other urologist's coders to bill as the assistant surgeon. Sometimes there is incorrect billing pertaining to the CPT® codes and ICD-9 codes billed, according to the documentation from the operative report. There is contact made to have them verify and correct, but corrections are not always followed by the other office. In an effort to get the claim submitted in a timely matter I have submitted the claim for my doctor as the assistant. I have done it in two ways: 1) submitted as billed by the other office and urologist, making notes on the account for the errors/problems and 2) submitting the claim with the correct billing information. What is the correct way to handle this problem?New York SubscriberAnswer: You [...]