tci Part B Insider - 2007 Issue 27

SURGERY: A Few Extra Words In Your Documentation Could Add $140

If every excision looks the same, it's time to ask questions Physicians at Aurora Health Care were stuck in a documentation rut. When one of them excised a pressure ulcer, they would document every single one the same way. So every time, Aurora was billing just the pressure ulcer, with a primary suture and no complications. Until coder Rhonda Gudell started asking questions. -You-re telling me that every single last one of these you-re doing exactly the same way?- she asked the doctors. Of course not, the doctors said. Each pressure ulcer excision procedure was different, and sometimes...

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