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Medicare Compliance & Reimbursement

E/M CODING:

Check Your Answers to These 3 Q&As to Eliminate E/M Coding Confusion

Published on Sat Apr 11, 2009

Steer clear of becoming an E/M coding error statistic. If you glean anything from CMS's recent CERT report (see page 1 for more information), it should be that you've got to buckle up your coding for E/M services. CMS paid out more than $1 billion in error for E/M codes between Sept. 30, 2006 and Sept. 30, 2007, according to the most recent comprehensive error rate testing (CERT) report. We're here to help you stay on track with your E/M coding by sharing three common questions and answers. Avoid In-Hospital Incident-to's Question: How should we code a mid-level provider's (MLP's) report of a consult that she performs on a hospital inpatient? Is incident-to consult billing allowed for inpatient MLP services? Answer: Incident-to is not allowed in the hospital at all, says Suzan Berman-Hvizdash, CPC, CEMC,CEDC, senior manager of coding and compliance with the UPMC Departments of Surgery and Anesthesiology. "Shared/split [...]
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