Since the onset of health care compliance and the focus on potential
violations of the Federal False Claims Act under HIPAA, the quality of
coded data for reimbursement is constantly under review. As a result, each
health care organization must insure the quality of its coded data. One of
the best means for achieving accurate, consistent and reliable data is to
develop comprehensive documented internal coding guidelines.
It is more important than ever to have information regarding the
specific coding practices which an organization’s coding staff is
expected to follow in writing and accessible to all members of the staff.
Your coding guidelines will not only serve as a way to steer your coding
staff in the right direction, they could also serve to protect you in the
event of an audit or investigation.
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