Wiki Abstract Coding-Coder's liability

[irnglz@yahoo.com]

Hello

This is my first time posting. Can anyone guide me to where I can find information as to Texas laws that a coder cannot change a dx code on a claim if the provider did not give the appropriate one? From my understanding a coder abstracts from the operative report, enters charges, and is able to submit claim. Where I work at the physician enters the charges and we get it (coders) and audit to see if the charges they entered match with the operative report.

 

[mitchellde]

There is no law, but the codes are not a part of the medical record. The coder is to determine the correct codes given the documentation. However the codes on the claim must match the narrative in the notes. So the code number on the claim does not need to match code numbers passed to the coder, but must match the documentation provided at the time of coding.

 

[irnglz@yahoo.com]

Thank you