tci Medicare Compliance & Reimbursement - 2004 Issue 27

PHYSICIANS: Doctors Could Be Throwing $1,400 Away

Downcoding just two E/M visits a week can cost an arm and a leg. It may not seem like a big deal to bill a 99212 instead of a 99213 occasionally for evaluation and management visits. But those little reductions can add up. Let's say a three-physician practice downcodes from a level three to a level two office visit twice a week per physician. That's just six downcodings from 99213 to 99212 per week. Assuming a 48-week year, that adds up to $1,434 per year, according to consultant Mary LeGrand with Karen Zupko & Associates in Chicago."It...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.