The USC Care Medical Group/Doctors of USC is fully aligned with all policies of the University of Southern California. Through its compliance activities, the medical group embraces and supports the USC Code of Ethics and the USC Healthcare Compliance Program.
Over the years, a number of policies and procedures have been provided to help with guidance in billing. We hope you find the information contained in this website to be educational and helpful to you in the daily operations of your practice. The compliance program policies and procedures apply to all university personnel as well as billing vendors involved in the provision of and documentation or billing for professional medical and/or healthcare services.
| Billing |
B-400, Centralization of Billing Information
B-401, Uniformity of Encounter Forms
B-403, Insurance Rejections and Denials
B-404, No Charge Visits & Insurance as Full Payment Billings
B-405 Processing Credit Balances
B-406, Billing for Teaching Physicians
B-407, Billing for Fellows Participating in Private Practice
B-409, Billing of Incident-to Services by Ancillary Staff
B-410, Collection Agencies
B-411, Billing Rules Applying to Non-Physician Practitioners
BS-143 Processing Refunds |
| Documentation and Coding |
DC-300, General Medical Record Documentation Standard
DC-301, Revising Clinical Record Documentation
DC-302, Coding
DC-304 General Documentation and Coding Guidelines for Evaluation and Management
DC-305, Evaluation and Management Codes for Hospital Inpatient Services
DC-306, Evaluation and Management Codes Hospital Observation Services
DC-307, Evaluation and Management Codes for Hospital Outpatient Services
DC-308 Time Based Services – Counseling and Coordination of Care
DC-309 Time Based Services – Critical Care Services
DC-310, Neonatal Intensive Care Services
DC-311, Prolonged Services
DC-312, General Teaching Documentation and Coding Guidelines for Surgical Specialty
DC-313, Teaching Documentation and Coding Guidelines for Overlapping (Concurrent) Surgeries
DC-314, General Teaching Documentation and Coding Guidelines for Assistants at Surgery
DC-315, General Teaching Documentation and Coding Guidelines for Psychiatric Services
DC-316, General Teaching Documentation and Coding Guidelines for Endoscopy Procedures
DC-317, General Teaching Documentation and Coding Guidelines for Consultations
DC-318, General Teaching Documentation and Coding Guidelines for Anesthesia Services
DC-319, General Teaching Documentation and Coding Guidelines for Radiological Services
DC-320, General Teaching Documentation and Coding Guidelines for Medical Services Rendered at the Dental School and its Affiliated Centers and Programs
DC-321, General Teaching Documentation and Coding Guidelines for Pathology
DC-322, General Teaching Documentation and Coding Guidelines for Independent Billing of Physical and Occupational Therapy Services
DC-323, Medicare’s Primary Care Exception
DC-324, Scribes
DC-326, Documentation and Coding Guidelines for Intraoperative Neurophysiology Monitoring (IONM) |
| Education |
ED-200, Compliance Education |
| Monitoring and Auditing |
MA-500, Practice Plan Compliance Monitoring
MA-501, Quality Assurance Monitoring |