Wiki BCBS coding evaluation

[cmanion]

One of my providers recieved a bcbs evaluation stating that he is billing too many 99214's. I know my coding has been correct on these claims, so I am not sure why BCBS is saying this. Does anyone have any insight on this, it woud be greatly appreciated. Thank you in advance

 

[Lindap@ezderm.com]

Providers receive these kind of letters, often called comparable billing reports, when a payer determines that the provider is billing more of a higher level E/M than compared to his peers. It doesn't mean you're necessarily wrong, but you can probably expect audits to follow.

 

[cmanion]

Providers receive these kind of letters, often called comparable billing reports, when a payer determines that the provider is billing more of a higher level E/M than compared to his peers. It doesn't mean you're necessarily wrong, but you can probably expect audits to follow.

Thank you for the information : )