tci Part B Insider - 2013 Issue 36

E/M Coding: Keep Your Inpatient E/M Claims Flowing With These 5 Tips

Medicare overspends millions on upcoded inpatient visits. The carriers are scrutinizing your inpatient hospital visits more than ever. Will you be ready? Problems: Initial hospital visits had a higher Part B error rate than any other E/M services at 26.9 percent last year, according to the 2012 Comprehensive Error Rate Testing (CERT) report, which came out last month. These high error rates with inpatient visits could lead to additional scrutiny on your hospital visit claims, so consider the following five tips to ensure you continue to code these services accurately. 1. Don’t confuse initial visit with admission...

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