Why can’t the coding on my claim be changed so my insurance company will pay the bill in full?
Our certified coders follow the guidelines of the Centers for Medicare and Medicaid Services and the AMA and code according to the physician’s documentation in your medical record. Due to strict government regulations, insurance company documentation and coding guidelines, physicians are prevented from altering chart records for the purpose of coverage determination. Altering chart documentation is considered fraudulent and is punishable by law.
