tci Part B Insider - 2017 Issue 10

Compliance: Dodge These Perennial E/M Issues Found in the CERT Report

Watch your "medical decision making" documentation to keep claims on track. If evaluation and management (E/M) services are the foundation of your practice income – but your bottom line looks dismal – you may want to revisit your coding compliance plan to ensure you're getting the pay you deserve. Why Is E/M Coding Such a Problem? E/M claims are a major issue for Medicare Part B providers and weigh heavily in the CERT data in the 2016 Medicare Fee-for Service Improper Payment Rate Report out this past July. With a 14.3 percent error rate in 2016, E/M services...

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