BC Advantage - 2009 Issue 1

Develop an E/M audit structure that works for your organization

All practices should perform regular evaluation and management (E/M) audits, but the audit structure will vary based on the particulars of your individual circumstances. The audit structure is made up of three basic elements:Objective-The goal of the audit, such as to render provider education about complianceor to ensure that providers bill the appropriate E/M service to the optimal level allowed as supported by their documentation. Scope-The type of audit, the data the audit will examine, and the number of records the audit will consider. Level of risk-The impact the audit will have on the organization. Determine this by performing...

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