Proper coding and billing for office services.

Abstract

The information revolution has effected tumultuous change in the process by which physicians receive compensation for their services. In an effort to predict and control costs, a labyrinthine coding system, together with multilayered rules and regulations, has been developed to pinpoint medical function. Computerization of the insurance industry allows vigilant scrutiny of the physicians claims. Since noncompliance with payment rules now carries legal or monetary consequences, physicians need to pay careful attention to payer methodology, not only to fulfill the requirements of the law but also to receive accurate and optimal reimbursement. This article is designed to help practitioners unscramble these exacting mandates and stay in alignment.