tci ED Coding & Reimbursement Alert - 2003 Issue 4

Bump Simpleto Intermediate, When Appropriate

You can get simple laceration repair claims paid, but you may not obtain optimal and ethical reimbursement for the services. Double-check your operative reports and make sure you're accurately reporting simple laceration repairs, not downcoding more involved ones. If you think you're downcoding procedures because of insufficient documentation, educate your physicians. Make sure they understand when they can document for a layered closure, says Sandra Soerries, CPC, CPC-H, director of healthcare compliance services for Tait Advisory Services in Kansas City, Mo. Physicians commonly document a simple laceration repair code for a service that actually required additional work. Inform your...

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