tci Part B Insider - 2009 Issue 2

PART B MYTHBUSTER: Avoid Basing Code Selection on SuperbillChoice -- Or Risk Denials

No matter which specialty you code, bill based on documentation -- not the codes circled on the superbill. Myth: If your physician circles his E/M code on the superbill after seeing a patient, then he's already done your job for you. Reality: Submitting a claim to your carrier based solely on the physician's writing on the superbill could put you at risk. A practice wrote in to the Insider with the following question: "Our office manager is trying to 'streamline' the E/M coding process and has asked that we code from the charge ticket (superbill) only -- without access...

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