I am writing this post for advice on what I should do about an email from our Coding Compliance Officer in response to an email I sent a certified coder in our organization. I am a CPB and work billing Medicare and some Medicaid at my organization. I have sent the email to the CPC coder asking her to review a date of service where the patient was billed in error and had Medicaid. One of the reasons I needed her to look at it was the provider billed a new patient visit and the patient has been well established with our providers for the last year. I received a response from the Coding Compliance officer stating why was I asking the coder to review it when all I had to do was convert the new patient visit code to the "corresponding" established patient visit code. In my years in this industry and working with many facilities we as billers (who are not certified coders) where told to give those types of visits to the CPC personnel to review for correct coding. Am I wrong in this? and Should our Certified Coding Compliance Officer even be suggesting that I as a non certified coder just randomly change the codes? Thank you for your time in answering my question.
Concerns about Certified Coding Compliance Officers reponse on an Email
Hello everyone,