tci Part B Insider - 2019 Issue 3

E/M Coding: Keep Claims Clean with These 3 Tips

Know what ‘interval’ means. Coding for subsequent hospital care isn’t easy, and many coders find the rules confusing. These common inpatient E/M service codes perennially bump up the improper payment rate on the Comprehensive Error Rate Testing (CERT) report and continue to be a hot topic for the Medicare Administrative Contractors (MACs) Targeted Probe and Educate (TPE) program. Keep your claims clean with this advice on how to properly code subsequent care. Context: Some of the Medicare Administrative Contractors (MACs) have listed these E/M codes on their Targeted Probe and Educate (TPE) active review lists. Some have...

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