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Does anyone have a policy they would be willing to share on coding processes at their practice. Specifically I'm looking for who is responsible for doing the coding; who can chaneg codes; how questions are addressed etc. If so my email is Catherine@i1Consulting.com
For example: the provider selects the diagnosis code. The coder confirms documentation supports the diagnosis and submits claim. If there is a question the coder queries the provider; only the provider can change/add/delete diagnosis codes....
Also, can anyone point me in the right direction for an answer to the following question:
A coder does not believe documentation supports the diagnosis selected by the provider. The coder queries the provider and the provider maintains that that is the diagnosis of the patient. The provider is the one that is legally responsible for the claim going out. Does the coder bill or not bill if she/he doesn't agree with the diagnosis selected by the provider?? What is the standard of practice?
Thanks so much.
For example: the provider selects the diagnosis code. The coder confirms documentation supports the diagnosis and submits claim. If there is a question the coder queries the provider; only the provider can change/add/delete diagnosis codes....
Also, can anyone point me in the right direction for an answer to the following question:
A coder does not believe documentation supports the diagnosis selected by the provider. The coder queries the provider and the provider maintains that that is the diagnosis of the patient. The provider is the one that is legally responsible for the claim going out. Does the coder bill or not bill if she/he doesn't agree with the diagnosis selected by the provider?? What is the standard of practice?
Thanks so much.