MCN’s customizable template, Selection of HCPCS Codes, is taken from our Home Care Corporate Compliance Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Selection of HCPCS Codes:

	POLICY: Codes shall accurately reflect the item or service provided. Only the code that most accurately describes the item or service provided will be entered on the claims form. Codes are coded to the highest level of specificity to accurately describe the patient's condition. It is prohibited to upcode items, services and/or diagnoses or change the order of diagnoses to increase reimbursement. All items and services shall be accurately described on the claims form. When a specific HCPCS code provides for items to be billed as a unit, it shall be so described. The individual...
Second excerpt:
	...he or she would not otherwise qualify. PROCEDURE: Codes will be reviewed by the Director of Medical Records/Billing to ensure accuracy before claims containing such codes are submitted to the payor. If a code is in question, the Director of Medical Records/Billing will: Review the medical record documentation; Contact the treating/ordering physician or other authorized person for clarification and/or additional information; If necessary, contact the fiscal intermediary/carrier help line...