Category: Documentation & Compliance
Education focused on anesthesia documentation requirements, coding compliance, audit considerations, medical necessity, and the documentation elements that support accurate and defensible code assignment.
-
Resource #4 — NCCI: When Two Correct Codes May Not Belong Together So far this week, we have looked at the CPT® code set, CPT® Assistant, and CMS Medicare manuals. Today we are adding another resource that anesthesia coders should know how to use, the National Correct Coding Initiative, or NCCI, because sometimes both codes…
-
What we believe happened and what the medical record supports are not always the same thing. Anesthesia coders develop an impressive ability to read between the lines. After reviewing hundreds or thousands of anesthesia records, operative reports, procedure notes, and medication records, experienced coders begin to recognize patterns. We often know what probably happened before…