Reimbursement: This Mistake Could Cost Your Practice $10,000 A Year

Why This Topic Matters

Misclassification of new patient visits can affect reimbursement, compliance, and practice revenue. The article is relevant for teams reviewing E/M documentation and trying to avoid undercoding in office-based encounters.

Article Sections

1. Watch out for these hard-to-detect nuances when billing new patient visits

   Introduces the reimbursement issue and frames the discussion around new patient versus established patient billing. It sets up a documentation-focused example involving office E/M services.

2. Did You Spot the Problems?

   Presents a sample patient chart and explains why the reported visit level did not match the documented encounter. It discusses the general documentation elements considered in the review.

3. 99201 vs. 99203 Primer

   Provides a comparative primer on several new patient visit levels using general clinical scenarios. It highlights how office/outpatient E/M service levels are distinguished at a broad level.