DecisionHealth, DecisionHealth - 2012 Issue 4 (April)

Train docs on E/M level selection to prevent denials, boost payment

Push your doctors to improve their E/M level selection, and you’ll see your revenue rise because of fewer denials from upcoding and fewer missed opportunities from downcoding. The varying and sometimes inconsistent interpretations by Medicare administrative contractors (MACs) about what documentation qualifies for E/M levels 1 through 5 make 100% accurate level selection impossible.

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