tci Part B Insider - 2012 Issue 23

Compliance: Consider These 3 Self-Audit FAQs As You Review Your Practice's Claims

Time can drive E/M level--if it's documented.Most Part B practices routinely perform self-audits twice a year to ensure that their physicians are coding and billing correctly--but audits can bring up questions that might be tough to answer. Consider these three self-audit questions and answers that will get you on the right track.Background: When you audit your practitioner's services, you can uncover incorrect coding patterns or compliance issues. You'll discover any problems before an outside auditor (such as a RAC or an OIG auditor) does, and you'll be on your way to collecting the exact reimbursement you should...

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