tci General Surgery Coding Alert - 2023 Issue Q3

Documentation: Don’t Let ‘Authorization’ Lead Code Selection

Undercoding can cost you. When a scheduled surgical procedure takes an unexpected turn that involves additional services, your coding needs to take the turn, too. Problem: In order to save time and money, some medical practices may opt to only seek prior authorization, and therefore, code for services they know will definitely occur during a patient encounter. That can lead to undercoding, a common occurrence that can cause both professional and financial woes. Not only can you lose the payment your surgeon deserves, but you can also misrepresent the patient’s condition and open your practice to fraud charges...

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