E/M Documentation

Improper coding for doctors' evaluation and management visits costs Medicare billions, OIG report

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Documentation coding errors related to routine patient evaluation and management (E/M) visits are costing the Medicare program billions of dollars in improper payments a year — nearly $7 billion alone in 2010 — according to a new government report. But the investigation involved few claims involving nursing homes.

Proper evaluation documentation that supports nursing home billing the focus of webcast for clinicians

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In light of recent allegations of gross upcoding in therapy circles, an upcoming webcast on appropriate patient evaluation and management documentation could prove popular. Alva Baker, M.D., CMD, who has been a medical director for 29 years, will examine the relationships between E/M documentation and coding and billing. Topics within the webcast include a review of the billing codes for services provided to residents in the long-term care setting, as well as the E/M documentation system. The event will take place from 7 p.m. to 8:30 p.m. (Eastern Time) on Thursday. It is sponsored by the American Medical Directors Association.