My job it strictly ICD 9 coding for an insurance company. I review whole charts from providers and pull all HCC relevant codes from the chart. We have a vendor that does the same thing for us in other areas of the state. The vendor is assuring us that it is acceptable by CMS to code from the Review of Systems without any supporting documentation and allowable by ICD 9 guidelines.
Could anyone shed some light on this for me?
Could anyone shed some light on this for me?