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Wiki Scoring Physicians

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consultingbykristin

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Local Chapter Officer
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Hi all,

Does anyone have a template or methodology they are willing to share for scoring physicians during an E&M audit?

I've got a few samples, but want a tried and proven method to use.

Thanks in advance to all who respond.

Kristin
 
I am not sure if this may be of interest. I do audits for 27 providers in a group. I score based on their % of accuracy per quarter.

Each provider has a % as well as the overall average of the group. We compare their % to the group % to see where they are amount the others. The individual provider knows his score and the group score but we do not compare Dr. A to Dr. B. I use graphs to show this.

We realize the OIG wants 95% accuracy and we can use that goal, however with other factors it is difficult for many to do this.

I hope this helps :)

Kim Espinosa, CMRS, CPC, CPMA, CMPM, CPC-I:)
 
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