Curb compliance violations: Audit your facility's physician E/M coding
Health Care Auditing Strategies, March 1, 2006
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Editor's note: This article is the first in a two-part series about conducting E/M audits. Next month, we will provide a selection of tools to address E/M documentation.
Evaluation and management (E/M) coding may no longer be on the OIG Work Plan, but that's no reason to let E/M compliance get sloppy. Your facility should regularly audit for how closely physicians comply with E/M billing and documentation guidelines (see the sample audit tool on p. 8 of the PDF of this issue).
"It was something that was on the Work Plan for a very long time. And the OIG has also identified coding and billing as a specific risk area in its Compliance Program for Individual and Small Group Physician Practices," said Joe Rivet, CPC, CCS-P, compliance specialist with Henry Ford Health System in Detroit, during the HCPro audioconference "Physician E/M Coding Audits and Compliance Under the OIG's Watchful Eye" on January 10. "I would continue to recommend aggressive auditing and monitoring of E/M services."
This is an excerpt from a member only article. To read the article in its entirety, please login.
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