E/M CODING: 7 Tips To Keep Your Inpatient E/M Coding On The Up-And-Up

Why This Topic Matters

Inpatient E/M claims are a frequent audit target, and errors can lead to overpayments, denials, or recoupments. Understanding the article’s focus can help readers assess whether they need guidance on documentation support, visit type distinctions, and hospital-based E/M compliance.

Article Sections

1. Medicare overpayments and audit scrutiny

   Introduces the compliance environment for inpatient E/M services and discusses payer review activity and overpayment concerns.

2. Seven tips for inpatient E/M coding compliance

   Presents a set of practical documentation and workflow topics related to inpatient hospital services, including visit type distinctions, record support, and coordination with hospital documentation.

3. Critical care audit focus

   Notes additional carrier attention to another inpatient service area that may be subject to review.