LauraNewYork
Networker
I'd like to hear how others score EM level audit results. We are just initiating internal prebilling audits for our 21 MDs. We are starting with completing 10 charts for each provider annually as there are only 3 FT EM coders who will also be doing these audits.
Based on a recent workshop, I attended we are scoring EM using this method:
10 charts, total possible score = 100
Correct Code 10 points
Over coded by one level 8 points
Over coded by > one level 0 points
Under coded 5 points
No documentation 0 points
Incorrect category of E/M code 5 points
If a provider has a score less than 90, then subsequently focused audit is done. Does anyone have a different method of scoring EM results?
Based on a recent workshop, I attended we are scoring EM using this method:
10 charts, total possible score = 100
Correct Code 10 points
Over coded by one level 8 points
Over coded by > one level 0 points
Under coded 5 points
No documentation 0 points
Incorrect category of E/M code 5 points
If a provider has a score less than 90, then subsequently focused audit is done. Does anyone have a different method of scoring EM results?