Our facility keeps a paper record for each account that comes back to a coder for a non-passing diagnosis. The majority of what is returned is for outpatients where departments did not include all passing diagnoses on the order. These get returned to departments for passing diagnoses to be provided on the order.

My question is, does anyone else keep paper record of all accounts that have been returned to coders? We are required to document the account number, CPT being denied, and all diagnoses added to get account to pass. Then a copy of the billing statement is kept attached to the spreadsheet.

It is time consuming, seems like overkill, and not lean at all!

Anyone else keep a record?