High-level E/Ms targeted as errors spike after consult elimination

Why This Topic Matters

It helps readers understand a Medicare claims review trend that can delay payment and increase denial risk for higher-level new patient evaluation and management services. The article also highlights how MAC-specific auditing and documentation scrutiny may affect coding compliance workflows.

Article Sections

1. Prepayment review and audit findings

   This section describes the Medicare contractor action, the affected jurisdiction, and the internal audit that prompted closer review of selected services. It also places the issue in the context of recent Medicare coding changes.

2. 5 steps to avoid new visit mistakes

   This section summarizes common documentation and billing problem areas associated with new patient evaluation and management claims. It focuses on broad compliance themes practices should monitor.

3. Other MACs have no plans for similar action

   This section compares the situation in other Medicare Administrative Contractor jurisdictions and notes whether similar review actions are planned. It also references general error-rate observations across contractors.