BC Advantage - 2020 Issue 5
That Is How We've Always Done It
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Article Overview
This article explains why audit and coding teams should question long-standing practices and verify them against documented internal policy, CPT guidance, and Medicare guidance sources. It is aimed at auditors, coders, compliance staff, and managers who want to keep coding processes current, supported, and consistent across an organization. The piece emphasizes the value of citing sources, checking jurisdiction-specific Medicare contractor guidance, and maintaining ongoing education as coding guidance evolves.
Why This Topic Matters
Unverified routine practices can lead to inconsistent audit results, weak documentation support, and outdated coding or workflow habits. The article matters because it encourages organizations to anchor day-to-day coding decisions in current, documented guidance rather than tradition.
What You Will Learn
- Why routine work practices should be tied to documented sources
- How internal policy supports consistency and audit readiness
- Why CPT and Medicare guidance should be reviewed regularly
- The importance of checking contractor-level guidance for local jurisdiction
- Why ongoing education matters in a changing coding environment
Who Should Read This
- Medical auditors
- Medical coders
- Compliance staff
- Revenue cycle professionals
- Healthcare managers
- Clinical documentation teams
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