December 7th, 2018
Keeping up to date on coding and documentation
For CPT codes, the intention of the coding revisions
For ICD-10 codes, new codes are created to capture the
Codes you have mastered and use every day can have a different definition, and if you continue to use the old code set you may find your practice out of compliance. As a result of code updates, insurance companies have to then revise medical necessity criteria and coverage information.
Not all companies provide education for their staff on coding updates, so it is up to the medical coders, billers, auditors, compliance, and anyone else that performs billing and coding in a medical practice, to keep themselves up to date if the practice is not providing it. For those working in one specialty, it does not take much time to learn about the changes that will affect you directly.
For those working across multiple specialties, it may take more time and there are now many services available to help in closing information gaps. There are conferences, webinars, live training, resources and of course, in the coding books, there are sections that outline the changes and provide some explanation for those changes.
Fee Sheets and any reference tools that are used daily need to be corrected and updated, as well.
It is easy to be lulled into
This Week's Audit Tip Written By:
Omega Renne, CPC, CPCO, CPMA, CEMC, CIMC
Omega is a Compliance Consultant with our parent organization, DoctorsManagement.