Thank you, Bill. Your use of the term "code steering" was very helpful. An internet search led me to this:
False Claims Act
Provides criminal penalties for knowingly or willingly filing a false claim to a government program.
ICD-9 codes can only be supplied by the ordering physician or a representative of that physician.
It is against the law for a laboratory to change or supply an ICD-9-CM code to a test order submitted by a
Code steering means to steer or direct a physician to supply an ICD-9 code that is payable. Code Steering is
illegal. The code must come from the patient's medical record.
Missing ICD-9 codes cannot be obtained by copying them from a previous laboratory order.
It is against the law to use the wrong ICD-9-CM code for the purpose of causing or increasing payment for a
How do we assist outside physicians in finding an appropriate ICD-10 code, especially with so many new ones coming up? We still get a fair number of orders for arterials with an indication of swelling. The schedulers indicated that it was a burden to call every referring provider to get the appropriate diagnosis code. How are other labs that have a large referral base handling this? We're obviously not doing it correctly right now, so I want to make sure that we do, but in a way that isn't a burden for us or referring providers.
Thank you for your feedback, Bill!
To unsubscribe or search other topics on UVM Flownet link to: