Wolves at the Door: E/M Coding Now

Advance News Magazine published an article titled: "Wolves at the Door: E/M Coding Now: Documentation is More Important Than Ever".   In this article, they discussed the following:

• OIG Uses Data Analytics
• Coding Trends of Medicare Evaluation and Management Services - 2001-2010 Part B goods and services.
• The OIG stated that E/M coding "has been vulnerable to fraud and abuse".
• Data analysis identify types of E/M services with improper payments for Part B services.
• The OIG identifies specific physicians who bill higher-level E/M codes
• If you're already a target, you should address the following:
• Look at your practice policy and procedures (P & P) manual
• If your coding is outsourced, work with vendors
• You should also perform internal documentation and coding audits
• If you have more than one coder have them do a quality assurance (QA) review of another coder's work.
• Provide the same case to all your coder's and see what the outcomes are and if there are any differences.
• Have an outside consultant perform documentation and coding audits.

To view the full article, please click the following link: Wolves at the Door: E/M Coding Now

For additional billing, coding and reimbursement resources, please click the following link: Medical Reimbursement, Inc. Resources