ShannonDeconda NAMAS

A Little Friday Nugget:
As coders and auditors, it is our function to support providers in efforts to create compliant documentation, coding, and billing, and this applies whether you are a carrier coder/auditor or internal. As a carrier, you are tasked with creating policies and guidelines (that should be published and a matter of PAR provider access) that you will hold them accountable for. As an internal coder/auditor you are the actual Gatekeeper of Compliance. You are responsible for ensuring, either retrospectively or prospectively, that services billed are appropriate. Therefore, ALL coders/auditors are responsible for letting providers know:
1. Expectations- Rules and guidelines of what is expected for services billed
2. Deficiencies- Findings of documentation review in which services were not as clearly supported as required
3. Proficiencies- Findings of documentation reviews in which documentation clearly supported the services
4. Feedback- Corrective measures needed

Happy Weekend!