ED Coding & Reimbursement Alert - 2013 Issue 7
Reader Question: Provider Holds Ultimate Coding Responsibility
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Article Overview
This brief advisory Q&A addresses a common compliance concern in physician practices: whether coding selection must be performed by a certified coder or physician, and how responsibility is viewed when another staff member helps choose codes. It is relevant to physicians, office managers, and coding staff who want a high-level understanding of delegation, accountability, and audit risk related to evaluation and management services.
Why This Topic Matters
It helps practice leaders understand that coding tasks may be delegated, but accountability remains with the billing provider. That distinction matters for compliance oversight, staff training, and reducing audit exposure.
What You Will Learn
- How coding responsibility can be delegated in a physician practice
- Why provider accountability remains tied to reported services
- General compliance and audit considerations related to evaluation and management coding
- The role of staff education in supporting appropriate code selection
Who Should Read This
- Physicians
- Medical office managers
- Billing staff
- Medical coders
- Compliance personnel
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