Document Detail


Between a rock and a hard place with E/M coding: dilemmas of compliance and practice financial viability.
MedLine Citation:
PMID:  14608765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Compliance with HCFA's Evaluation and Management (E/M) documentation guidelines presents a tremendous challenge to physicians and their staffs due to the complexity of the guidelines. All too frequently, physicians and staff undercode the services actually provided to prevent additional scrutiny and fraud and abuse charges. This results in significant lost revenue for the practice. This article provides guidance on how to ensure accurate reimbursement while complying with E/M guidelines. Special direction is provided on when and how to bill for a consultation.
Authors:
R E Sosa; D Cascardo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of medical practice management : MPM     Volume:  16     ISSN:  8755-0229     ISO Abbreviation:  J Med Pract Manage     Publication Date:    2000 Jul-Aug
Date Detail:
Created Date:  2003-11-11     Completed Date:  2003-12-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8605494     Medline TA:  J Med Pract Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-6     Citation Subset:  T    
Affiliation:
Weill Medical College, Cornell University, New York Hospital-Cornell Medical Center, 525 East 68th Street, New York, NY 10021, USA.
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MeSH Terms
Descriptor/Qualifier:
Centers for Medicare and Medicaid Services (U.S.)
Documentation
Forms and Records Control*
Humans
Insurance Claim Reporting / standards*
Insurance, Health, Reimbursement
Practice Management, Medical / economics,  organization & administration*
Risk Management
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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