Compliance: Dodge These Perennial E/M Issues Found in the CERT Report

Why This Topic Matters

E/M services are a frequent source of improper payment findings, so understanding the recurring documentation and compliance themes can help organizations reduce risk and strengthen claim support.

Article Sections

1. Why Is E/M Coding Such a Problem?

   Introduces the article’s focus on recurring E/M compliance concerns and the role of Medicare CERT reporting. Summarizes the general causes of error and the impact on improper payment findings.

2. Ensure Your Claims Back Up the Necessity for a Higher Code

   Discusses the need for documentation to support the level of service reported and references broad E/M component requirements. Also notes the context of proposed changes to the E/M framework.

3. Rectify Your Issues with These Tips

   Covers practical documentation-compliance themes, including record completeness, signatures, and consistency across the chart. Includes references to CMS and MLN guidance on what should appear in supporting records.