Billing and Coding Compliance
Key Points
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Services provided must be medically necessary and rendered by qualified health care professionals in accordance with the scope of practice and federal and state laws.
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Assignment of CPT, HCPCS, and ICD-10 codes is based on the medical record documentation and payer specific guidelines.
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Medical record documentation must meet the requirements outlined in UC Davis Health Policies and Procedures (P&P) 2307 and as applicable in P&P’s 1930 and 1905.
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With a limited exception, teaching physician services may be billed to Medicare only when the documentation supports that the teaching physician provided a direct service to the patient.
More information for UC Davis Health employees and providers is available via the Employee links.