Wanted to get clarification on requirements in the Medical Record. My team has been instructed to bill claims missing results or interpretations from the Medical Record as long as it is located somewhere else in the Health Record. However, we don’t have access to verify these other locations and are to assume it’s there, where ever there is.

Examples being lab tests, x-rays, EKG etc…

We are also not to review E/M levels and bill as is.

So basically we’re just making sure charges are on claims.

Thanks