tci ED Coding & Reimbursement Alert - 2012 Issue 12

Compliance: How Will Recent Media Hype On EHRs And Upcoding Impact Your Compliance Plans?

Get the facts on whether and why your ED E/M frequency distributions are shifting to the right and higher acuity to be ready for any audits. You likely heard a lot of public discourse about the ED Evaluation and Management (E/M) codes in 2012. Read on for a summary of the issues and expert advice on how to react.First, in May 2012, the HHS OIG issued a report citing that ED E/M's were the fifth largest paying codes in Medicare among all of the E/M codes, says Ed Gaines, JD, CCP Chief Compliance Officer for Medical Management Professionals...

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