tci Part B Insider - 2008 Issue 42

Carrier Focus: Never Assign E/M Codes Based Solely on the Length of the Documentation, One Carrier Says

Instead, base your code choice on the documentation's content.Coding an E/M visit based on the physician's documentation is an art form -- but selecting a code simply based on the volume of documentation is just bad form.CMS should be publishing its list of Comprehensive Error Rate Testing (CERT) errors any day now, which will shed light on the most common errors that Medicare contractors see each year. Until then, we're shining the spotlight on what one carrier found in its review of E/M coding trends.National Government Services (NGS), a Medicare payer in 26 states, recently published...

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