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Brace for a big shake-up to E/M coding. CMS announced its intention to pursue “comprehensive reform of E/M documentation guidelines” in the 2018 proposed Medicare physician fee schedule released July 13.
Two medical centers in Massachusetts will pay more than $700,000 to settle allegations that they upcoded claims when they failed to follow the rules for new and established patients.
Look to your diagnosis coding to understand whether a patient fits the criteria for new cognitive-assessment code G0505 because the code does not confer blanket coverage for your elderly patients.
Good news – coders are cutting their ICD-10-CM coding error rate from an average of 15% just after the codes took effect in 2015 to 7% last year, attendees learned at this year’s AAPC Healthcon in Las Vegas.
If you were thinking that CMS under the Trump administration might go easier on providers in an audit situation, think again.

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