tci Part B Insider - 2003 Issue 8

CODING: Don't Let the Bell Curve Fool You

If you're concerned that you may be downcoding, then it's important to have a certified coder audit some of your charts, says Edward F. Babb, MD, CPC, with Physician Advocate Consultants & Trainers in Lafayette, N.J. The first step is to bring in an outside party to look at charts and see if the office is coding and documenting properly. Match the CPT Codes you submitted with the documentation on file, urges Alice Gosfield with Alice G. Gosfield and Associates in Philadelphia. "Practices should do that anyway as a matter of compliance for upcoding, downcoding and documentation generally...

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