tci Medicare Compliance & Reimbursement - 2019 Issue 11

Coding Quiz: Test Your E/M Documentation Acumen

Hint: Take detailed notes to circumvent TPE reviews. You may think with the Centers for Medicare and Medicaid Services onslaught of administrative rollbacks that concise documentation isn’t as important as it once was to the feds — but, you’d be wrong. Medicare claims review programs like Targeted Probe and Educate (TPE) consistently point to lackluster documentation as the primary reason for denials. Whether you’re in the midst of a TPE review and want to avoid moving onto the next probe round or whether you just want to see if you’re submitting claims with the right...

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