Icode4U
Networker
I am looking for clarification and supporting documentation in regards to coding and billing insurance companies for services that you know will not get paid. It is my understanding that coders should code the services provided, regardless of the insurance payor or if they are self pay. Is it considered to be undercoding to not code and submit the services provided? Can we pick and choose according the the payor what is billed and what is not? If Medicaid denies payment, due to content of service does that mean we as coders should not code it. Then I bill the same service to a BCBS and they pay it.
Can someone please direct me.
I was taught code what is documented, send it to the payor, if they deny payment for what ever reason, you address the denial. Is it OK not to bill the self pay patient for services that you know Medicaid will not pay?
Can someone please direct me.
I was taught code what is documented, send it to the payor, if they deny payment for what ever reason, you address the denial. Is it OK not to bill the self pay patient for services that you know Medicaid will not pay?