dpenning
Guest
I have two scenarios I would like some opinions on.
1. We have physicians who provide codes for us to bill. We do not always see the charts, and sometimes when we have we have found the op note does not match the codes provided but we are told to bill the codes the doc gives. We are a billing company and they say the ultimate responsibility lies with the Dr.
2. We get superbills or face sheets from some surgeons that have very brief descriptions on them. We cannot always obtain the op note so are told if the op note is not provided to just code the best we can with what we have. In some cases it is not a problem as a lap chole is a lap chole but in some instances there may be multiple possible codes. THis makes me uncomfortable because I am now the one assigning the codes based on the documentation available. In an audit I have to trust they have the proper documentation to support the codes.
Anyone out there have any experience in dealing with these type situations?
Thanks,
Dawn
1. We have physicians who provide codes for us to bill. We do not always see the charts, and sometimes when we have we have found the op note does not match the codes provided but we are told to bill the codes the doc gives. We are a billing company and they say the ultimate responsibility lies with the Dr.
2. We get superbills or face sheets from some surgeons that have very brief descriptions on them. We cannot always obtain the op note so are told if the op note is not provided to just code the best we can with what we have. In some cases it is not a problem as a lap chole is a lap chole but in some instances there may be multiple possible codes. THis makes me uncomfortable because I am now the one assigning the codes based on the documentation available. In an audit I have to trust they have the proper documentation to support the codes.
Anyone out there have any experience in dealing with these type situations?
Thanks,
Dawn