tci Medicare Compliance & Reimbursement - 2014 Issue 13

E/M Coding: E/M Services Aren't Automatically Billable Every Time You See a Patient

$6.7 billion in financial waste each year causes a massive drain of Medicare resources, says OIG. Whether you’re upcoding an evaluation and management (E/M) encounter or downcoding it, you’re still placing your practice/facility at risk for audits or worse. The HHSOffice of the Inspector General (OIG) will be scrutinizing the accuracy of your claims in the year ahead. The government is always on the hunt for ways to save money in the Medicare and Medicaid programs, and that often leads to time-consuming audits of your practice’s billing habits. But when the OIG finds a $6...

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