Errors and Compliance in coding

Errors and Compliance in coding - be over billed. Also if...

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Running head: ERRORS AND COMPLIANCE IN CODING 1 Errors and Compliance in Coding Nicole A. Suddeth HCR/220 12/09/2011 Axia College of University of Phoenix
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ERRORS AND COMPLIANCE IN CODING 2 Errors and Compliance in Coding One of the most common billing errors is double billing. This in other words means that the patient was billed for the same service, procedure, or medicine twice. To prevent this, the coder needs to be sure they do not process this claim twice, or if they had to go and add to the claim they need to be sure that they file an adjustment form instead of filing a new claim. In my opinion you should always double check your work to make sure everything is right before turning it in. Another common error in the coding process is assumption coding. This is when the coder bills items or services that were not documented, but they just assumed that it was done. To prevent this, the coder needs to only code what is documented, and not what they thin was done. If you assume a service, or procedure was performed and it was not then the patient is going to
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Unformatted text preview: be over billed. Also if the wrong thing is coded then the patient insurance company may not pay for their part of the bill. This will result in the patient having to pay the full bill if left unnoticed. The third most common error in the billing processes is billing without the proper signatures on file. To prevent this you always need to check that all signatures that are needed are on file. If you double check for this you will not miss not having them on file, and if you find that you need a signature, you can then get it so that you do have it on file. If do not have the proper signatures on file the patient may not be billed properly. Also the practice giving the services may not be paid for the services given. ERRORS AND COMPLIANCE IN CODING 3 References NPR. (April 18, 2006). Retrieved from http://www.npr.org The McGraw-Hill Companies (2008). Claim Preparation (Rev ed.). New York City, NY: Author....
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This note was uploaded on 12/17/2011 for the course HCR 220 ? taught by Professor ? during the Spring '10 term at University of Phoenix.

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Errors and Compliance in coding - be over billed. Also if...

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