CodingCompliancePlan - CODING COMPLIANCE PLAN Indian Health...

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Unformatted text preview: CODING COMPLIANCE PLAN Indian Health Service Coding Compliance Plan - Sample Effective Date: _________ Revised:________ Original source: Peggy Schultz, Claremore Indian Hospital Edited by HIM Consultants ______________________________________________________________________________ ___ Revised: 12/17/2011 Page 1 CODING COMPLIANCE PLAN TABLE OF CONTENTS I. Scope........................................................................................................................................4 II. Purpose...................................................................................................................................4 III. Policy.....................................................................................................................................4 IV Procedure...............................................................................................................................4 A. Coding Conventions..................................................................................................4 B. UHDDS Definitions...................................................................................................5 C. Reportable Diagnoses and Procedures......................................................................5 D. Physician Query Process...........................................................................................6 E. Coding Summary.......................................................................................................7 F. Data Quality and Integrity.........................................................................................7 G. Coding Audits............................................................................................................8 H. Unique Payor Requirements......................................................................................9 I. Claim Denials............................................................................................................10 J. Superbill Maintenance...............................................................................................10 K. Coding References and Tools....................................................................................10 L. Coding Support..........................................................................................................11 M. Coding and Reimbursement Orientation and Training.............................................11 N. Coding Compliance Education..................................................................................11 O. Coding Certification Requirements...........................................................................11 APPENDIX ______________________________________________________________________________ ___ Revised: 12/17/2011 Page 2 CODING COMPLIANCE PLAN I. Facility Compliance Plan.........................................................................................................AI II. American Hospital Associations Office Coding Guidelines...............................................AIIAmerican Hospital Associations Office Coding Guidelines....
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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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CodingCompliancePlan - CODING COMPLIANCE PLAN Indian Health...

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