4 Strategies For Accurate Medical Coding + Denial Prevention

E/M Coding Guidelines4 Strategies For Accurate Medical Coding and Denial Prevention

Payers typically deny evaluation and management codes (E/M code) on the back end of the billing process, which can cause costly reimbursement recoupments, according to Medical Economics.

Four tips to avoid denials caused by inaccurate E/M levels:

  1. Make sure the E/M code supports the specific patient encounter.
  2. Consult the 1995 or 1997 E/M guidelines, which specify requirements for time-based billing and billing based on history, exam and medical decision-making.
  3. Validate any information that was copied and pasted to ensure it’s relevant to the current encounter.
  4. Ensure documentation aligns with the patient’s diagnosis by changing pre-populated fields in EHR templates.

For More Information: https://www.beckersasc.com/asc-coding-billing-and-collections/4-strategies-for-accurate-medical-coding-denial-prevention.html

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