tci Medicare Compliance & Reimbursement - 2014 Issue 1

Test Yourself: Pinpoint The E/M Code Correctly Every Time

Don’t fall victim to these five pitfalls. Payer guidelines for E/M coding vary as much as do the rules which define when you should use certain codes. Put your coding skills to the test with this quiz to see whether you can earn 100 percent reimbursement for your E/M claims. Avoid In-Hospital Incident-To’s Question1: How should we code a mid-level provider’s (MLP’s) report of an E/M service that she performs on a hospital inpatient? Is incident-to billing allowed for inpatient MLP services? Answer: Incident-to is not allowed in the hospital at all. The MLP would...

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