tci General Surgery Coding Alert - 2012 Issue 8

E/M Reimbursement: Don't Forfeit Pay by Choosing 'Safer' Office Visit Code

You might be committing fraud. Have you ever selected a lower-level evaluation and management (E/M) code than your surgeon deserves because you want to make sure your claims will stand up to an audit? You're not alone, apparently, since national insurer data shows that physicians downcode E/M claims to the tune of more than $1 billion annually. Let our experts show you three good reasons to stop undercoding your surgeon's E/M services. You Might Actually Trigger an Audit If you think that avoiding upper level E/M codes will keep the auditors away, think again. When claims reviewers look at...

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