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Supporting Documentation

  1. #1
    Default Supporting Documentation
    Medical Coding Books
    I DO NOT charge out surgeries without an op report.

    Can someone please advise me where I can find something in writing that states this, I have a doc who does not "understand" .

    I cannot seem to find the source of this information (common sense?)


  2. Default
    How about the golden rule of the coding world---not documented, not done! If you can't substantiate a service with documentation to prove that it happened, how can you charge for a surgical procedure (or anything else)? If your practice was audited and no supporting documentation existed, you'd be sending payment back.


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