6. If the medical biller notices incomplete documentation, the biller should
A. add information to match the coding.
B. avoid sending for reimbursement.
C. delete the incomplete information.
D. confirm with the provider.
The answer is B according to my book
To answer this question, we need to understand the role and responsibility of a medical biller and how they should handle incomplete documentation.
A medical biller is responsible for creating and submitting accurate healthcare claims for reimbursement. They work with various medical codes, such as diagnosis codes (ICD-10-CM) and procedure codes (CPT), to create claims that accurately represent the services provided to patients.
When a medical biller encounters incomplete documentation, it means that some essential information is missing from the patient's medical records or encounter notes, making it challenging to accurately code and bill for the services provided. In such cases, the biller should follow a specific approach:
D. Confirm with the provider.
When faced with incomplete documentation, the biller should contact the healthcare provider and communicate the missing information. This step is crucial to ensure accurate coding and billing, as the biller relies on the provider to provide the necessary details. By confirming with the provider, the biller can obtain the missing information and ensure the codes and billing are correct.
Therefore, the correct answer is D. Confirm with the provider.