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tci General Surgery Coding Alert - 2011 Issue 1

Diagnosis Coding: Follow 5 Steps for Audit-Proof Medical Necessity

Keep current and accurate training and records.With a solid ICD-9 coding policy, your general surgery practice can ensure strong documentation to show medical necessity for services your physicians provide. Here's how to establish a policy that will go the distance when auditors come calling:Establish Coding ResourcesStep 1. The first building block of a well-designed coding policy is to indicate that you adhere to the ICD-9-CM Official Guidelines for Coding and Reporting, says Tricia A. Twombly, BSN, RN, HCS-D, CHCE, senior education consultant and director of coding with Foundation Management Services in Denton, Tex. Not staying up-to-date with these standard...

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