tci E/M Coding Alert - 2013 Issue 10

Payer Focus: Watch Out for 2 E/M Error Hotspots CMS Uncovered

Shine a light on your inpatient and allergy claims first. Even if your practice reports mostly E/M service codes on your claims and your providers are pros at assign the proper E/M code, you may find a few problem areas that need refining. A few recent recovery audit contractor (RAC) findings might help you discover a pitfall your claims fall into. CMS published two recent RAC findings in its latest Medicare Quarterly Provider Compliance Newsletter, which offers guidance to help you tackle billing issues you might be experiencing. Check Your Inpatient Office Visits The first RAC issue that CMS...

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