Top reasons to target E/M
Health Care Auditing Strategies, September 1, 2007
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Evaluation and Management (E/M) coding continues to be a top compliance priority. But an E/M audit helps you in other ways too. It creates an opportunity to interface with physicians. The audit helps you cover a lot of physicians quickly, and it helps you build exposure for the important work your department does. E/M audits represent an area rife with challenges too, which makes it a perfect topic to tackle. Physician provider organizations bill a significant number of E/M services each day. Due to the high volume of the services billed and the various elements that the government requires, billing for E/M services poses risks of upcoding, downcoding, and incorrect code assignment. The OIG included E/M coding in its Work Plan for several consecutive years. The government also recommends that organizations--both large and small-perform ongoing auditing and monitoring of their E/M services.
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