Results 1 to 6 of 6

Ethic or policy?

  1. Exclamation Ethic or policy?
    Exam Training Packages
    I have a situation here where I work that I need others opinion on. I have a manager that says that a biller should be able to go into a document, make edits to that document and then turn around and bill it out. I have a problem with that. I don't think any biller or auditor should be able to go into a document, edit it and then bill it. Yes, there is a trail of who was in the document, so the biller's name would show up as being in the document and editing it.
    I don't think that there is any rule or policy out there stating a biller can't go into a document but I feel it is unethical to do so.
    What do others think about this?

  2. #2
    Procedural Coders of Mountain Empire
    Absolutly no way would I let anyone other than the doctor or PA/NP who created the note make any changes to the note. And even if the creator of the note makes changes he or she would need to make amendment to the original document and leave the original alone.

  3. #3
    Milwaukee WI
    Default It depends
    Our system used to allow for "proxy" edits ... yes a trail was left to let you know who was in the document. The only time a proxy ever edited a note was when there was a spelling error or Date of Service correction that could clearly be substantiated (for example DOS on op note is 7-3-09 when date of dictation and anesthesia log both show 7-02-09).

    The system we have now does not allow for proxy editing, so we have to alert the provider to any errors we might see. Only the person who dictated can make corrections.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Charlotte, NC
    I agree wholeheartedly (since I believe my heart is still in one piece), with both tessa and April.

    The ONLY time any changes should be made to a document in a medical record is when there is an amendment made by the physician or NP/PA.

  5. #5
    I agree as well. I would not touch that with a 10 foot pole! How do you know what was done? Were you in the room? Just seems like you are inviting fraud if you let this happen.

  6. Default
    Thank you all for responding. I knew I wasn't going to touch the document but I wanted to make sure I wasn't alone in this.

Similar Threads

  1. CPC-A with STRONG Work Ethic Seeking Coding Position
    By cjdeporter in forum Resume Postings
    Replies: 0
    Last Post: 12-15-2014, 03:47 PM
  2. coding ethic
    By pshaw08 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-10-2014, 12:59 PM
  3. OB Policy's
    By jortego in forum OB/GYN
    Replies: 0
    Last Post: 01-25-2013, 02:46 PM
  4. Write off policy
    By wahmcoder in forum Billing/Reimbursement
    Replies: 4
    Last Post: 07-16-2010, 11:19 AM
  5. Audit Policy
    By punkyboo in forum Auditing General Discussion
    Replies: 0
    Last Post: 06-18-2010, 08:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.