Finding the Right E/M Pass Rate Threshold: A How-to Guide

E-brief

Do you ever wonder what the Evaluation and Management (E/M) pass rate threshold should be for your organization? This is a common question, even more so now with the recent E/M guideline changes. In this eBrief, Stephani E Scott, RHIT, CPC, shares how to determine the right pass rate threshold for your organization and addresses important questions, including:

  • What’s a good starting point for baseline audits?

  • What are other healthcare organizations’ pass rate thresholds?

  • What’s the best method for setting a pass rate threshold?

  • How do sample size, audit frequency, and type of audit impact pass rates?

  • How can I measure the effectiveness of my audit plan?

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