decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 9 (September)
Understanding E/M: Warning – Curves ahead
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Article Overview
This article covers how evaluation and management utilization comparisons can help practices review coding patterns, identify possible overuse or underuse trends, and prepare for audit attention. It is aimed at coding and billing professionals who want a broad understanding of benchmarking resources, specialty-based utilization data, and the general reasons a practice may fall outside expected norms.
Why This Topic Matters
Benchmarking E/M utilization can help practices understand how their billing patterns compare with similar peers and recognize areas that may merit internal review before they draw auditor scrutiny.
What You Will Learn
- Why practices review E/M utilization data against peer patterns
- How benchmarking can highlight unusual billing trends
- What broad factors may contribute to atypical utilization
- Where specialty-based utilization information may come from
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance professionals
- Physicians
Codes Discussed
Code Ranges Discussed
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