I know this is a loaded question. Unfortunately, for some it is a harsh reality. While we all agree that coding can be subjective, there are those times when the rules, and guidelines are clear. I have seen these misguided errors come back to bite providers far too often. It is critical to know exactly what codes are appropriate to submit for the services/supplies you are providing. Some services and supplies do not have an exact matching description, and this can cause confusion and errors when trying to select the "right" code. It's tough to try to fit a round peg into a square hole. If you are relying on guidance from a consultant, health plan, IPA, MSO, colleague, vendor, or your brother in law about what codes are appropriate to use when billing for a specific service/supply, get it in writing with supporting documentation. Remember to do your due diligence and access additional resources like AMA's CPT Assist and specialty practice associations for clarity and guidance. Here is some more eye opening bedtime reading. A primer on the false claims act. https://lnkd.in/ewjxeJ8
I'm busy working on my blog posts. Watch this space!