DecisionHealth, DecisionHealth - 2011 Issue 6 (June)

Understanding E/M: Apply bell curve to spot undercoding

An observant coder is always on the lookout for signs of physician overcoding. But don’t let the fear of overcoding cloud your vision when it comes to undercoding. Your practice also can face scrutiny for consistently billing E/Ms at a lower level than appropriate. And even if the physician’s intentions are pure, undercoding could be costing your practice money you can’t afford to lose. 

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