tci Medicare Compliance & Reimbursement - 2010 Issue 9

E/M Coding: Don't Bill High-Level E/M Codes Until You Read This

Sicker patients may not always mean higher MDM. If your physician bills a lot of high-level office visits, he may be at risk of an audit -- which may not be cause for concern -- if his documentation justifies his code choices. "Some physicians believe their patients are sicker than others', so they feel they're justified using more 99215s, when in fact that may not be the case," says Crystal S. Reeves, CPC, CPC-H, consultant with Coker Group in Alpharetta, Ga. "The CPT manual outlines the requirements of the E/M codes, there are clinical examples in the back...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.