tci E/M Coding Alert - 2017 Issue 7

NGS News: 55 Percent of 99215 Claims Incorrect, NGS Review Reveals

Hint: Make sure you submit complete documentation for your claims. Don’t miss what a recent National Government Services (NGS) prepayment review revealed about common errors regarding claims people submitted for evaluation and management (E/M) code 99215 (Office or other outpatient visitfor the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity …). The review resulted in the Medicare payer reducing or denying more than 55 percent of claims in January, February, and March. Learn how to...

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