Perhaps this is common practice but I'd like to know if this is the case elsewhere.
We as coders are being directed to 'scrub' every case and every single code before it goes to billing so that the claims are completely clean. We have to go out on the internet and search websites to be certain each and EVERY code we use will completely pass BEFORE it goes to billing. This way the billers will just do data entry and send the claims out without having to determine if there are codes that will not pass.
Of course we recognize codes that are inappropriate and tests that obviously are lacking documentation support and we do query the physicians.
Is this common practice to search a list of websites before coding each single code to avoid billing issues? What is the billers responsibility in this particular process? It seems excessive and inappropriate.
Any insight as to how other hospitals handle this method of research? We want to do the right thing but are wondering if this is how it is done elsewhere.
Thanks!
We as coders are being directed to 'scrub' every case and every single code before it goes to billing so that the claims are completely clean. We have to go out on the internet and search websites to be certain each and EVERY code we use will completely pass BEFORE it goes to billing. This way the billers will just do data entry and send the claims out without having to determine if there are codes that will not pass.
Of course we recognize codes that are inappropriate and tests that obviously are lacking documentation support and we do query the physicians.
Is this common practice to search a list of websites before coding each single code to avoid billing issues? What is the billers responsibility in this particular process? It seems excessive and inappropriate.
Any insight as to how other hospitals handle this method of research? We want to do the right thing but are wondering if this is how it is done elsewhere.
Thanks!