tci General Surgery Coding Alert - 2001 Issue 12

Office Protocols Ensure Proper Billing Procedures

Surgery practices require protocols that guide the entire coding, billing and reimbursement process. Such protocols can prevent coding errors and provide strategies for dealing with reimbursement problems. Many protocols can optimize efficiency and stay within correct coding parameters. Some of the more important protocols follow: 1. Review codes and modifiers and revise when necessary. Although surgeons are ultimately responsible for coding decisions, coders and other billing staff may be asked to modify or even select CPT and ICD-9 codes. A member of the coding or billing staff should be responsible for comparing the surgeon's documentation to the information on...

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