It's that really fun time of year when we get to do a whole bunch of corrected claims due to retro-active coding.
So what is retro-active coding, you ask? Good Question.
It's when the CPT, HCPCS, or ICD-9 (soon to be ICD-10 codes) are changed. You discover due to provider updates that you have been billing with incorrect codes, or outdated codes and all of those claims now have to be changed. Many of them are probably already denials that you would be working anyway, but some may have been paid - but at the wrong rate. Remember it is just as bad to underbill as it is to overbill according to any auditing entity. The codes are not correct.
Part of the problem is that while these codes are all slated to take effect on October 1st of any given year, due to any number or problems (late publishing by publishing houses; last minute changes by the governing agency, computer updates being delayed by payers) these updates are not always timely. And the only answer is:
Rebill, rebill, rebill. Find them all and rebill to get it right. Accuracy is the main key that we all strive for.
So, mark your calendars. This comes around every January. Just another fun thing to look forward to. And remember:
Until next time:
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Author, Medical Billing, Coding, and Reimbursement
A medical billing professional for over 30 years now, I have seen a lot of changes in this field, and there are a lot more on the horizon. Follow me as we see what they mean and for who.