How To Avoid Improper Coding and Improve Revenue.

Complex codes can be a nightmare for both providers and auditors. For example, the Level 1-established patient encounter code, 99211. The rules are vague, to say the least. In fact, so unclear that many providers avoid reporting 99211 altogether. They’d rather err on the side of caution, rather than pose a compliance risk to their practices. While it’s important to maintain compliance, not reporting 99211 can mean lost revenue.

Instead of avoiding the code, educate ancillary staff regarding the proper documentation of this service. It will improve documentation in a patient’s record and lead to better patient care. Plus, improved revenue. It’s a win-win.

There might not be hard and fast rules for 99211, but using good judgment and having a strong understanding of the billing of this particular code will go a long way towards proper documentation, billing, and reimbursement of this level of service.

For more information download our eBrief, Clever Auditing Approaches to 99211, to learn how:

• Better Documentation Leads to Better Patient Care
• Avoid Improper Use
• 99211 Can Be a Source of Increased Revenue to Your Practice