tci Part B Insider - 2005 Issue 42

CARDIOLOGY: 'Hot Keys' Could Get You Into Hot Water

Beware of undercoding as well as upcoding heart catheterizations Your physician may follow the same steps almost every time in cardiac catheterizations--but “almost” isn’t good enough when it comes to coding. You need to keep an eye out for the exceptions to your doctor’s  normal patterns, or risk costing your practice money. Coders often get into the habit of coding the same procedures every time, and will either miss procedures or upcode procedures. “They get so used to the doctors performing things a certain way that they just always assume that’s the case...

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