Medicare Compliance & Reimbursement - 2021 Issue 8
Reader Questions: Stay Compliant Despite This Bundling Dilemma
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Article Overview
This article addresses a common coding and billing concern involving bundled denials for an office procedure performed with an evaluation and management service. It is aimed at coders and billing staff who want a general understanding of compliance-focused communication, documentation, and appeal coordination discussed in the context of interventional radiology and related claims processing.
Why This Topic Matters
Bundling denials can affect reimbursement and workflow, so the article explains the broad compliance and documentation issues that billing teams and coders need to coordinate around.
What You Will Learn
- How bundling denials can affect claims involving office procedures and evaluation and management services.
- Why documentation coordination between coding, providers, and billing matters.
- How appeal preparation and claim submission workflow may be discussed in relation to recurring denials.
- The role of compliance when translating provider services into codes.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Interventional radiology coding staff
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