I am wondering if anyone has found anything in writing that states, a certified coder is able to change a CPT code so that it reflects the documentation without informing the physician every single time.
I have recently started working for a facility that currently stops coding and goes to seek out the physician to change the CPT code. This seems a little crazy to me since we are hired with the credentials and certification so that we can help make sure claims go out with the correct coding that is supported by the documentation. The last facility I worked for the physicians were more focused on the patient than the coding of the CPT, therefore if their note did not support a 99214 but did support 99212 it was changed on the back end by the CPC before being sent to the insurance company and vice versa.
Please help so that I may be able to help make things streamlined for my new employer.
I have recently started working for a facility that currently stops coding and goes to seek out the physician to change the CPT code. This seems a little crazy to me since we are hired with the credentials and certification so that we can help make sure claims go out with the correct coding that is supported by the documentation. The last facility I worked for the physicians were more focused on the patient than the coding of the CPT, therefore if their note did not support a 99214 but did support 99212 it was changed on the back end by the CPC before being sent to the insurance company and vice versa.
Please help so that I may be able to help make things streamlined for my new employer.