tci Part B Insider - 2007 Issue 6

E/M CODING: 7 Tips To Keep Your Inpatient E/M Coding On The Up-And-Up

Medicare overspends millions on upcoded inpatient visitsThe carriers are scrutinizing your inpatient hospital visits more than ever. Will you be ready?Problems: Medicare overspent  $112 million on claims for subsequent hospital visit code 99233 and $41 million on 99232, according to the Nov. 2006 Comprehensive Error Rate Testing report. In both cases, visits were upcoded by one level, claims the Centers for Medicare & Medicaid Services (CMS).Also, Medicare overspent $57 million on upcoded claims for initial inpatient consult code 99254. And CMS says upcoded claims for initial inpatient visit code 99222 cost the program $26 million.Meanwhile, more...

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