tci Medicare Compliance & Reimbursement - 2014 Issue 24

E/M Errors: Know the Top Pitfalls of E/M Coding

Ward off common documentation errors to ensure coding success. There are some coding errors that plague even the most experienced coders — and E/M mistakes are at the top of the list. Avoid these pitfalls for two common E/M coding errors and give your E/M accuracy a boost.  Error 1: Watch for Incomplete or Insufficient Documentation You use your provider’s notes when coding and that’s where issues may start. You can only code what is in the record, so missing or inaccurate notes will lead to coding that may not reflect what your provider actually did...

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