tci Part B Insider - 2013 Issue 39

Compliance: RACs Identify 2 Error-Prone E/M Issues

Pay attention to your inpatient, allergy E/M billings. If the majority of your Part B claims involve E/M services, then you may assume that your practitioners have the E/M coding rules burned into their brains. However, a few recent recovery audit contractor (RAC) findings might challenge that belief. CMS published two recent RAC findings in its latest Medicare Quarterly Provider Compliance Newsletter, which offers guidance to help you tackle billing issues you might be experiencing. Check Your Inpatient Office Visits The first RAC issue that CMS shared involved errors on E/M services provided to hospital inpatients. In many cases...

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