If the coder determines that the code checked off by the physician on the encounter form does NOT match the medical record, the coder should:
ignore the encounter form and bill based on the medical record.
change the encounter form to match the medical record.
inform the physician of the issue and determine the correct code.
not bill for the questionable services.
Question 2
The Compliance Program Guidance suggests that a physician's office implement a plan that includes all of the following EXCEPT:
conducting internal monitoring and auditing of claims.
developing open lines of communication.
conducting appropriate training and education of staff.
dismissing any employee who fails to understand the compliance plan.