NEW! - AMA CPT Advanced Coding Pack

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Unlock the full potential of your medical coding capabilities with the CPT® Advanced Coding Pack from the American Medical Association (AMA). Designed for professional medical coders, auditors, and billers like you, this comprehensive suite of resources provides everything you need to navigate the complexities of the CPT code set with confidence and precision.

 

Advanced Coding Pack includes:

1. CPT Assistant - Newsletter with official education and guidance
2. CPT Knowledge Base - Commonly asked coding questions answered by the experts
3. CPT Vignettes - Comprehensive clinical examples.

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BC Advantage - 2023 Issue 6

If a Procedure Was Not Documented, Was It Performed?

Most of us, if not all of us, have heard the statement, "If it isn't documented, then it wasn't performed." While I know this is often the perspective of payers, I cringe when I hear this, thinking about all the providers that I work with and the fact that it may not be a true statement that the procedure was not done.I recently had a conversation about this with a good friend who is also in the medical coding industry. She was working through a scenario where a surgeon was documenting only the name of the procedure...

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