tci Medicare Compliance & Reimbursement - 2005 Issue 4

Physicians: Docs Kissed Nearly $1 Billion Goodbye In 2004

But the AMA doesn't want to tinker with E/M coding againPhysicians are losing thousands of dollars every day due to downcoded evaluation and management codes - and there's no relief in sight.The Centers for Medicare & Medicaid Services said most of the $1 billion in underpayments in 2004 came from physician visits. CMS performed a special undercoding study as part of its 2004 report on the Comprehensive Error Rate Testing program, issued in December. Meanwhile, E/M visits also account for a significant amount of downcoding.In the CERT report, CMS said it would ask the American Medical Association...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.