DecisionHealth, DecisionHealth - 2012 Issue 8 (August)

Learn from practices on OIG’s E/M watch list; document patient severity for level 4s, 5s

Some practices that landed under the HHS Office of the Inspector General’s (OIG’s) microscope still came out unscathed thanks to thorough justification of their upper-level E/M selections. Practice managers for a few of the 1,700 doctors OIG identified as having selected a level 4 or a level 5 in at least 95% of all E/M claims in 2010 tell Part B News that they rarely see E/M denials.

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