decisionhealth Newsletters, Answer Books - 2010 Issue 7 (July)
Correct Coding Policy / Take note_correct coding edits apply to date of service
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Article Overview
This short coding advisory discusses how CMS correct coding edits are applied based on the date a service was performed rather than the date a claim is submitted. It is intended for coders, billers, and revenue cycle staff who need to understand how updates to correct coding policy affect claim processing and record retention for prior versions of the policy.
Why This Topic Matters
Because correct coding policy can change after a service is performed, billing staff need to know which version applies to avoid unnecessary claim denials and to retain prior policy references until claims for earlier dates of service are finalized.
What You Will Learn
- How correct coding policy updates relate to service dates
- Why the timing of claim submission does not change which policy version applies
- Why retaining prior policy versions can be important during claims processing and follow-up
- How carriers’ processing of claims can be checked against the applicable policy version
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Practice managers
- Compliance staff
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