tci Part B Insider - 2005 Issue 36

EVALUATION AND MANAGEMENT: Don't Get Burned By Trailblazer's New E/M

Learn the new rules before an auditor uses them on your claims Part B carrier TrailBlazer Health Enterprises has come up with new audit guidelines for evaluation and management--and other carriers may follow suit. Will you be ready? Unfortunately the new system is so complicated it’ll make your head spin, say experts. PBI has summarized the two key changes you need to know to begin complying with the new rules.First: TrailBlazer won’t give credit for a complete review of systems (ROS) if the physician lists all relevant positives and negatives followed by “all other systems...

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