tci ED Coding & Reimbursement Alert - 1999 Issue 1

Tailor ED Coding Policies and Procedures to Meet OIG Compliance Plan Guidance

by Caral EdelbergEDCA Consulting Editor PresidentMedical Management Resources, Inc.Jacksonville, FLCoders can expect to come under more scrutiny in 99 as a result of the newly released Compliance Program Guidance for Third Party Medical Billing Companies published by the Department of Health and Human Services Office of Inspector General (OIG). These long-awaited recommendations provide a detailed plan for assuring correct coding by coders, appropriate documentation by physicians, and accurate submission of claims and processing of refunds by the billing office. This months column will cover the key issues for ED coders and billing companies that handle emergency services.Audits...

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