tci Part B Insider - 2005 Issue 36

EVALUATION AND MANAGEMENT: Watch Out For Confusing New TrailBlazer E/M Guidelines

Use physician forums to make your concerns known Part B carrier TrailBlazer Health Enterprises has issued new audit guidelines for evaluation and management, and you need to be aware of them before auditors start using them to judge your claims, say experts. And if you don’t like what you see, speak up. If TrailBlazer is your carrier, be sure your E/M levels will comply by doing some chart audits yourself, suggests consultant Quin Buechner with ProActive Consultants in Cumberland, WI. Pick a representative sample of your E/M claims to see how the levels match up with TrailBlazer rules...

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