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E/M provider accuracy

  1. Default E/M provider accuracy
    Medical Coding Books
    Does anyone know if there is an industry standard of what is an acceptable percentage for physician accuracy when auditing E/M documentation? For example, if you are doing an audit of a providers documentation to see if their documentation supports the E/M code level they have billed and you audit 20 records what would be considered an acceptable percentage that the documentation should support the code? I know you want 100% accuracy but everyone is human and that is not realistic especially in a baseline review.


  2. #2
    Aurora, Colorado
    Our typical aim at the company I work for is 95% for both the coders, and the providers, on all aspects not just E/M. You're absolutely right, no one is perfect and 100% is just not a realistic goal.
    Julie Davis

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