DecisionHealth, DecisionHealth - 2009 Issue 9 (September)

Reduce downcoding with strict definition of 'additional workup'

Greatly reduce your chance of getting an E/M service downcoded by watching how the phrase "additional workup" is used during your billing process, experts say. Opinions on exactly what qualifies as "additional workup" vary widely, says one compliance auditor. "Some people say it's as simple as, ‘if there are any additional diagnostic tests, that's additional workup.'"

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