Apr 1st, 2015
Ignoring how medical decision-making affects E/M leveling can put you at risk. By Ellen Risotti-Hinkle, CPC, CPC-I, CPMA, CEMC, CIMC, CFPC When coding evaluation and management (E/M) services, it’s crucial to take into account medical necessity. Services billed at a level higher than what the medical necessity warrants will result in take-backs in the event ...
In Audit
Jan 19th, 2015
by Ellen Risotti-Hinkle, BS, CPC, CPC-I, CPMA, CEMC, CIMC, CFPC Whether you work in a hospital or a physician’s office, chances are you will receive a payer audit request, at some point. Medical claims are under ever-increasing scrutiny as payers, both government and commercial, seek to uncover billing errors and reap monetary take backs. When ...
Knowing the risks EHRs pose is the first step to improving E/M documentation. By Ellen Risotti-Hinkle, CPC, CPC-I, CPMA, CEMC, CFPC, CIMC The use of electronic health records (EHRs) is steadily increasing, and so are the number of high-level evaluation and management (E/M) services being billed. These claims may very well be substantiated by documentation contained ...