A coder is responsible for their coding. You should never submit codes that are not reflected in the documentation. Can you the coder be fined if the codes are incorrect? Yes you can! The thing is though they look for a pattern of incorrect submissions. Not just one claim incorrectly coded. If you know something is being submitted incorrectly can you be held liable if it is audited? Yes you can! If you know something that is fraudulent or suspect it then you have a duty to correct it or have it stopped. There are all kinds of ways you can be found either jointly or individually liable, and the only way to protect yourself is always code from the documentation and always follow coding rules and regs. The is coder malpractice insurance however from what I have read and been told the provisions of this insurance will not cover you if you submitted incorrect codes just to keep a job or because that is what you were told to do.
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