There are 4 steps to successful coding and a little acronym to help you remember them…
“READ”
• Review the Record
• Extract the Appropriate Procedure Service/Code
• Assign a Diagnosis Code
• Determine the Exceptions
Also here are 3 Golden Rules that you should remember in coding…
1) If it’s not documented…it did NOT happen.
2) Stay up to date on code changes, if you use the wrong code…no one’s getting paid.
3) Never guess at a diagnosis code, if there is no diagnosis listed then only code the symptoms until a diagnosis is given.
“READ”
• Review the Record
• Extract the Appropriate Procedure Service/Code
• Assign a Diagnosis Code
• Determine the Exceptions
Also here are 3 Golden Rules that you should remember in coding…
1) If it’s not documented…it did NOT happen.
2) Stay up to date on code changes, if you use the wrong code…no one’s getting paid.
3) Never guess at a diagnosis code, if there is no diagnosis listed then only code the symptoms until a diagnosis is given.