brittndave10
New
We are a Pediatric Surgical Practice. Our doctors circle the E/M service they want to bill, but no documentation is provided to us coders to review. We are told by our internal auditor & office manager that it's not required for us to have the documentation, that it's the doctors responsibility for the coding.
Also, when the doctors do surgery, we are receiving documentation that has random blanks through it & isn't signed.
We have both expressed that we needed the documentation to check that the correct level of service is being billed out, and that the surgery documentation needed to be complete & signed.
What do we do if they won't allow us to have the E/M documentation & completed surgery documentation?
Also, when the doctors do surgery, we are receiving documentation that has random blanks through it & isn't signed.
We have both expressed that we needed the documentation to check that the correct level of service is being billed out, and that the surgery documentation needed to be complete & signed.
What do we do if they won't allow us to have the E/M documentation & completed surgery documentation?