CODING: Harvest 'Low-Hanging Fruit' To Boost Your Profits

Why This Topic Matters

Understanding common billing and documentation gaps can help practices identify whether revenue changes are tied to coding patterns, claim processing, staffing, or payer-related issues. The article is relevant for readers looking to assess potential underbilling and operational causes of reimbursement decline.

Article Sections

1. Avoid this common E/M trap

   This section discusses broad evaluation and management billing patterns, comparison of current and prior billing activity, and the role of modifier use when procedures and visits occur on the same date. It also touches on how practice mix can affect reimbursement trends.

2. Don't Overlook Basic Add-Ons

   This section covers common areas where practices may miss billing opportunities tied to procedure-related services, documentation, claim backlogs, and enrollment delays. It also references broader revenue issues related to imaging and collections processes.