Results 1 to 3 of 3

coding compliance question

  1. Default coding compliance question
    Clearnace Sale
    The compliance officer at the facility where I work is asking our coding team to do something unusual and uncomfortable. We have several IP accounts that range a six week period when our certification to provide cardiac procedures was not valid. He is asking that we code these accounts to exclude any documentation pertaining to the procedure. He would like them coded as if there were no procedure performed. He does not want the procedure charges, understandably, billed.
    It is my understanding that industry practice would have us code the accounts as we normally would and any charges associated with the procedures would be written off at the billing side prior to billing. In this way we are still reflecting actual treatment and maintaining a legal record.

    From an auditing perspective how would this be viewed?
    Thank you.

  2. Post
    As an auditor of both billing and coding, I agree with you. It is on the billing end where the codes would be adjusted. The third party payor would need to have record that the procedures were done whether or not they were eligible for reimbursement.

  3. #3
    Orange County
    I agree as well. I would code what is documented and the applicable charges would be written off at the billing side.

Similar Threads

  1. Compliance question
    By KLITTLEFIELD in forum Compliance General Discussion
    Replies: 5
    Last Post: 10-30-2014, 12:36 PM
  2. 5010 Compliance Question
    By in forum Compliance General Discussion
    Replies: 0
    Last Post: 06-20-2012, 10:41 AM
  3. Compliance question
    By kparkhurst in forum Anesthesia
    Replies: 3
    Last Post: 03-29-2011, 10:03 AM
  4. Compliance Question; Dr coding bills himself
    By RedBW1 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-07-2010, 01:04 PM

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.