You’ve probably noticed that physicians may experience some confusion regarding the terms “medical necessity” and “medical decision making,” when coding E/M services.
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Having an effective compliance program is absolutely crucial but measuring the success of any compliance program can be difficult. Available measures of success are not always industry-specific.
You’ve read about the risks of improper E/M coding, you’ve been warned about unbundling, and and how to tackle common auditing challenges but you might be surprised to learn that all risks aren’t a result of inaccurate coding.