Priscilla Keogh
New
Last week I posted a thread asking for help because my compliance officer had told me I do not have to wait for physician attestation (I work at a teaching hospital) to bill a procedure. As long as I informed the physician the E/M charge neede his attestation, it was okay to bill it before he added it. After a meeting friday to help explain this to me I was also told not to hold a charge because there was no documentation. Inform the physician there is no documentation and then go ahead and bill it. I asked my compliance officer what ever happend to "if it's not documented it didn't happen" She said that it has been discussed in courts and challenged that just because it was not documented does not mean it didn't happen. She assured me our corporate lawyers said we will be okay. Help!! Did I miss some big announcement in the coding world that changed everything, I need my job but this is crazy: