Do you know about - curative Coding and Billing Guidelines For condition Services - the significance of Documentation
Disability Services! Again, for I know. Ready to share new things that are useful. You and your friends.When coding and subsequently billing Medicare or a industrial carrier for services rendered to one of your patients, there are definite billing guidelines that must be followed by you, the provider. If these guidelines are not followed, the ramifications are staggering!! Since Medicare is the former insurance enterprise that we deal with, the billing guidelines that will be discussed primarily are in reference to Medicare. However, don't be fooled. The incommunicable insurance carriers consequent what Medicare does very closely.
What I said. It isn't outcome that the true about Disability Services. You look at this article for information about an individual wish to know is Disability Services.How is curative Coding and Billing Guidelines For condition Services - the significance of Documentation
Billing Guidelines:The assistance (s) must be medically necessary. This is by Medicare's definition, not yours. The assistance (s) must be performed: If you bill for a assistance and did not accomplish the service, it is quite apparent that the assistance was not performed. However, if you bill for a assistance and performed a dissimilar service, that assistance that you billed for was not performed either. The assistance (s) performed must be sufficiently documented to show medical necessity.Number three above is the most important guideline for billing services rendered. This is everything. It all comes down to documentation. You can be a highly credentialed physician. You do great work. You are honest. You bill exactly what you perform. However, if you don't document sufficiently for the services rendered, it is as if you did not accomplish the work at all.
When a physician is audited by a carrier, specifically Medicare, you are ordinarily asked for exact dates of service, not the entire chart. If the date in ask contains entries such as "same", or "C&C", or "O.K." or some nomenclature that is not the standard, there is a problem. The documentation for the date in ask should be able to stand on its own. If other physician picks up your chart and reads it, he or she should have no problem insight what the situation at hand is and what care was provided to the patient.
Well, Medicare has a exact stand on documentation:If it is not documented, then it did not happen. If it cannot be understood, then it did not happen. If it cannot be read, then it did not happen. If it did not happen, then it should not have been paid. If it was paid, then they will ask for the money back.When they ask for money back, it is never at face value. The always attach a very big "tip".
Did you ever notice that they always pay you first, right or wrong?
Just because you get paid, doesn't mean that you did all correctly. All audits are post-payment with very few exceptions. The only thing that you possess that shows the carrier that you performed the work that you billed for is your documentation.
How do you quantum up?
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