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Click here for more sample CPC practice exam questions and answers with full rationale

code corrections and modifiers

Ultimately the physician is responsible for codes, modifiers and diagnosis that are submitted on a claim.
I am looking for information on what a certified coder can do vs. a non certified medical biller.
Can a medical biller who is not certified add a modifier to a claim or must this be done by a certified coder?
Can a medical biller without certification update information on a claim or must it be a certified coder and what documentation is required to be kept on file?

Any information about the support staff for the provider relating to medical billing in the Pennsylvania regarding what the support person is able to do if they are certified vs. non certified would be appreciated.

Thanks,
Camille Waterhouse, CPC

Medical Billing and Coding Forum