Medical Economics August 8, 2021
When a miscoded procedure is the result of substantial negligence or fraud, it can be detrimental to a medical practice or physician. That is why it is vital for medical practices to establish robust oversight, audit and remediation procedures that work to ensure accurate coding and billing.
The work billers and coders do for a medical practice plays a large role in its survival. Coders and billers are tasked with translating care delivered by medical professionals into billable services, using a complex system of CPT, ICD-10 and HCPCS codes — all while maintaining compliance with evolving insurance industry regulations.
Because of the tediousness of the job, coding and billing mistakes in medical practices are common. However, when a miscoded procedure...
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