4 Strategies For Accurate Medical Coding and Denial Prevention
Payers typically deny evaluation and management codes (E/M code) on the back end of the billing process, which can cause costly reimbursement recoupments, according to Medical Economics.
Four tips to avoid denials caused by inaccurate E/M levels:
- Make sure the E/M code supports the specific patient encounter.
- Consult the 1995 or 1997 E/M guidelines, which specify requirements for time-based billing and billing based on history, exam and medical decision-making.
- Validate any information that was copied and pasted to ensure it’s relevant to the current encounter.
- Ensure documentation aligns with the patient’s diagnosis by changing pre-populated fields in EHR templates.