ED Coding & Reimbursement Alert - 2005 Issue 41
EVALUATION & MANAGEMENT: Make Your Voice Heard On E/M Coding Changes
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Article Overview
This article examines a Medicare contractor’s evaluation and management audit approach and the broader debate over how physician visits are reviewed. It summarizes concerns raised by physicians and specialty organizations, CMS’s response about carrier-level policy development, and commentary from coding and compliance professionals on documentation review practices for E/M services. The piece is relevant to physicians, coders, compliance staff, and practice managers following E/M auditing and documentation standards.
Why This Topic Matters
It helps readers understand how local audit tools and differing review approaches can affect E/M documentation review, physician office compliance, and coding workflow across regions.
What You Will Learn
- How Medicare contractor audit tools can affect evaluation and management claim review
- Why physician groups are concerned about regional differences in E/M auditing
- How CMS characterizes carrier policy development for E/M review
- What compliance professionals say about documentation review practices for E/M visits
Who Should Read This
- Physicians
- Medical coders
- Compliance officers
- Practice managers
- Emergency medicine groups
Codes Discussed
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