Health Information Management

Don’t bypass coding rules to get more money

Briefings on Coding Compliance Strategies, September 1, 2010

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Last month I discussed the importance of queries related to sepsis versus UTI due to an indwelling catheter, as well as symptoms of more definitive diagnoses. This month I’ll explore why it’s necessary from an ethical perspective to query for clarification when there is insufficient documentation of acute versus chronic conditions. The bottom line is that coders can’t assign codes based on which ones will yield more reimbursement. Instead, they have ethical obligations and plenty of coding rules to follow.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.

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