tci Part B Insider - 2012 Issue 40

Reader Question: Know Whether Medical Assistant Can Select Codes

Question: One of our physicians allows his medical assistant to choose his E/M codes. The assistant is not a certified coder and always picks the highest E/M code possible. Is there anything in writing stating that only a certified coder or physician can choose the codes?Answer: There are no written guidelines stating that a physician or certified coder must choose procedure codes. The physician can delegate that responsibility to another person, but needs to understand that doing so does not release him from liability related to the other person's actions. The physician is ultimately responsible for services reported...

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