ED Coding & Reimbursement Alert - 2016 Issue 3
Medicare News: NGS Reports Worse Error Rates for Hospital E/M Codes
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Article Overview
This article reviews a Medicare audit update from NGS and explains that the report focuses on pre-payment review outcomes for hospital evaluation and management services, along with other service groups mentioned in the audit results. It is intended for coding and revenue cycle professionals who want a quick read on the scope of the audit, the types of services reviewed, and the general documentation issues identified.
Why This Topic Matters
Audit trend articles help coders and billing teams understand where payer scrutiny is increasing and what service categories are being reviewed, so they can assess whether the full article is relevant to their work.
What You Will Learn
- Which service categories were included in the NGS audit update
- What kinds of documentation-related issues were reported at a high level
- Why pre-payment audit results may be useful for hospital coding review
- Which broad provider and coding areas were mentioned in the news item
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Compliance professionals
- Hospital billing teams
Codes Discussed
Code Ranges Discussed
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