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As level 4 E/M codes are easier to hit, know the details to make the leap from level 3

06/13/2022

Coding professionals agree: It is easier to meet the requirements for a level 4 E/M office visit under the revised guidelines for office or other outpatient visits, and that could reshape your usage patterns.

Gender discrimination cases suggest weak spots in medical practice diligence

06/13/2022

by: Roy Edroso

A gender discrimination complaint from a staff physician at a prestigious New York hospital serves as a reminder that the health care sector isn’t immune to such problems, and developing a culture that supports a level playing field is central to management’s responsibilities.

Expect details on the next extensive E/M update in July

06/13/2022

by: Julia Kyles, CPC

You practice will have approximately five months to prepare for the next round of E/M changes that are slated to impact a large swath of the E/M code set.

Look to OIG audits to steer your internal audit practices

06/13/2022

by: Joe Rivet

Conducting audits is a necessary element of an effective compliance plan. The level and sophistication of how audits are conducted are crucial to an organization. If done well, audits can help prevent and detect early potential risks. The key is how to create an audit structure with precision to target risk areas.

Preventive services fell off 7% in 2020 amid COVID’s emergence

06/13/2022

by: Roy Edroso

Most of the 16 top-billed preventive service codes fell off of their usual pace of utilization in 2020, the first year of the COVID-19 pandemic that overturned many historical claims norms.

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