tci E/M Coding Alert - 2020 Issue Q4

Documentation: Review This Benchmarking Data, Stop Over-Reporting High-Level NP E/Ms

Avoid the auditing blues with this expert advice. The nurse practitioners (NPs) in your office are invaluable, especially when they conduct E/M services for your practice. But could they be the cause of auditing problems down the line? A recent comparative billing report (CBR) compiled by RELI Group, Inc., which shows that, in 2019, NPs had an improper payment rate of 8.2 percent when reporting four high-level E/M codes, suggests that could be the case. However, the report also includes important data that you can use to compare with your own to determine if your NP E/M usage...

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