If it does not, an isolated mismatched claim could be denied for lack of medical necessity. If multiple mismatches exist, you may expect legal action to be taken. Thus, if it takes five digits to describe a diagnosis, be sure to use all five. Responsibilities Be certain that every orthopaedist in your practice is committed to accurate coding and to be emphatically involved in the coding process. It is they, not the practice's nonphysicians, who risk discovering all about prison life.
Orthopaedists often perform multiple procedures at the same operative session.
Often, it is difficult to get paid for all the work you did at that one time. Be careful not to unbundle. Instead, adjust your operating protocols, if you can. When you are reviewing contracts, review the payer's list of unbundled surgical procedures. Coding and documentation uniformity among a group practice's orthopaedists is essential.