Healthicity Blog

Auditing for E/M Consultation Services has been confusing auditors for years.

You sit down and feel your jaw tighten, your pulse quicken, and your shoulders cramp up like you’ve slept on a boulder all night.

On August 3, 2018, the Department of Justice announced a settlement with the physician practice Northwest ENT Associates, in Georgia.

The OIG has added new work plan items in July 2018. I’ve detailed the items I find the most interesting below.

Q1: Can a physician and an NPP of the same specialty and the same group are both bill critical care code 99291 if documenting the critical time for the patient?

EXAMPLES OF MODIFIER 59 ERRORS

Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.

In November of 2017, I attended the annual AMA CPT and RBRVS 2018 Symposium (Whew! What a mouthful!) in Chicago where I learned a ton about the new and revised codes for this year.

Are you sure that your procedure audits are thorough? Increase audit accuracy and streamline your audit process with procedure checklists.