tci Medicare Compliance & Reimbursement - 2010 Issue 23

E/M Coding: Tips Are Key to Deciphering 99213 From 99214

Avoid these upcoding mistakes. Do you recognize when your physician documents a 99214 but only circles a CPT 99213 on the superbill? If you don't, then your practice could be losing money. Every year when CMS releases its benchmarking data, code 99213 (Office or other outpatient visit...) ranks number one as the top-billed code by medical practices. But just because you're billing it frequently doesn't mean you're billing code 99213 correctly. Check out these three quick tips to determine whether your 99213 coding could use a tune-up. Tip 1: Get an Auditing Tool Some practices say that they...

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