It is estimated that 36% of the nearly $1.5 billion in Medicare overpayments for office visits with established patients stemmed from overcoding, As a result, Medicare has been engaged in focused reviews of practices whose coding of visits at 99214 and 99215 is above the norm.
How do you protect your Practice from Recovery Audits, and potentially fines, for over-coding?
- Understand your coding patterns and how you compare with your peers. Strategic Solutions offers a coding review that takes your E&M data and compares it with national norms. This allows you to pinpoint areas of risk.
- Perform routine chart audits to ensure that your documentation supports the level of coding. Our certified coders will review your documentation and compare it with the code billed for the services. We then give you feedback on where your documentation may not be sufficient to pass an audit.
- Ensure your staff is well-educated on Coding and Documentation principles. Most overcoding is a result of lack of knowledge. Strategic Solutions offers individual and group training sessions to provide education geared to your specialty.
To learn more about our Coding Reviews or Coding Education Programs, contact us at 518-348-1276.