tci E/M Coding Alert - 2018 Issue 6

Specialty Spotlight: Gastroenterology: Ask These Questions, Produce Clean E/M Claims

Make sure these 3 factors don't attract a MAC's attention. Coding for time. Demonstrating medical necessity. Providing sufficient documentation. These issues affect evaluation and management (E/M) coding across all specialties, none more so than gastroenterology. So, we've put together three scenarios with a gastro focus to help coders from all areas tighten up their E/M coding. Background:  According to the April 2018 Medicare Quarterly Provider Compliance Newsletter, CMS's Comprehensive Error Rate Testing (CERT) contractors are reporting that they have seen an increase in E/M claims issues due to improper coding, insufficient notes, and setting confusion. In fact, "the...

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