deeplocica
Guest
I work for a surgeon in the specialty of Urology. There are many of the procedure codes that are performed together that, accourding to MCR CCI edits, cannot be billed together as they are considered bundled. He is asking me to bill those codes anyway knowing we will not get paid. He feels this is a more accurate record of what was performed in surgery.
However, I feel adding those codes may trigger an audit of some kind, since it looks as though he is attempting to routinely bill unbundled codes. Being certified I am more comfortable not billing the bundled codes, however he is my employer, so I would like to accomodate his requests if at all possible.
Any advice on this subject? Ive read some of the "How to use the CCI" articles from Medicare, but it never seems to state what happens if you DO bill the codes. (other than kicking them out and not paying them)
Thanks!!!
However, I feel adding those codes may trigger an audit of some kind, since it looks as though he is attempting to routinely bill unbundled codes. Being certified I am more comfortable not billing the bundled codes, however he is my employer, so I would like to accomodate his requests if at all possible.
Any advice on this subject? Ive read some of the "How to use the CCI" articles from Medicare, but it never seems to state what happens if you DO bill the codes. (other than kicking them out and not paying them)
Thanks!!!