AMA CPT® Assistant - 1998 Issue 6 (June)

Coding Compliance: The Coder's Role (June 1998)

June 1998 pages 8-9 Coding Commentary Coding Compliance: The Coder's Role The latest buzzwords in the news media related to healthcare include fraud, abuse, upcoding, unbundling and compliance. Eliminating healthcare fraud and abuse has become a top priority for the federal government. Government investigations are on the rise. The 1997 OIG audit of the Health Care Financing Administration estimated $20.3 Billion in improper payments. Of the $20.3 Billion, $5.9 Billion was for the physician provider type. The largest errors noted were documentation errors including no documentation, no documentation due to extenuating circumstances and insufficient documentation. What...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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