News: OIG finds E/M targets
CDI Strategies, June 5, 2014
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that amount, about $6.7 billion were incorrectly coded or documented, according to an Office of the Inspector General report released in May.
The OIG found that claims for E/M services billed for by high-coding physicians were more likely to be incorrectly coded or insufficiently documented than those billed for by other physicians, the report states.
“Even though Medicare payment rates for individual E/M services are small (about $100 on average), 70 million E/M services were billed for by physicians in 2010 and accounted for nearly 30% percent ($32.3 billion of $110 billion) of Part B payments that year,” the OIG stated. It urged CMS educate physicians on coding and documentation requirements for E/M services and the components used to determine E/M levels.
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
Related Products
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- OB services: Coding inside and outside of the package
- The consequences of an incomplete medical record
- Q&A: Primary, principal, and secondary diagnoses
- Differentiate between types of wound debridement
- Practice the six rights of medication administration
- Nursing responsibilities for managing pain
- ICD-10-CM coma, stroke codes require more specific documentation
- E-mailed
-
- Correctly bill ancillary bedside procedures in addition to the room rate
- Q&A: Utilization Review Committee Membership
- Q&A: Bill blood administration the same way for inpatient and outpatient accounts
- Q&A: A second look at encephalopathy as integral to seizures/CVA
- Performing a SWOT analysis
- OB services: Coding inside and outside of the package
- Know the medical gas cylinder storage requirements
- Intravenous therapy guidelines
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding tip: Watch for different codes for SI joint injections
- Searched