Guide to Coding Compliance

A Guide to Coding Compliance provides guidelines on performing coding compliance reviews and developing a coding compliance program. Practical and fundamental discussions on the differences between coding and billing, medical necessity, reviewing techniques, educational guides and coding compliance strategies, along with case studies based upon real experiences offer both the experienced coder and the student, with the tools necessary for handling a range of coding compliance issues. Special attention is also given to Medicare guidelines and the importance of official coding guidelines, as well as implementation of electronic health record systems and automated coding systems. For the coding and billing managers the text serves as a practical guide in answering some of the most common coding and compliance issues faced today. For students the text lays a foundation for understanding the legal requirements, payer specific instructions and the importance of quality coding.