E/M Code Utilization Analysis

Are you vulnerable for a Fraud and Abuse audit?

If you are a Medicare participating provider, the Center for Medicare and Medicaid Services (formerly HCFA) monitors the frequency with which you perform various level of care for evaluation and management (E/M) and consultation codes.  Physicians that undercode or overcode are frequently targeted for fraud and abuse audits.  Your coding practices and procedures may place you at risk of being target for one of these audits.

The Inga Ellzey Practice Group now offers a low-cost service to analyze your coding patterns and compare them to CMS's nationally accepted averages, specifically for dermatology.  We'll help you find out quickly, if you are vulnerable for an audit.  Once we analyze your data, we'll include an extensive report to help determine what your analysis means, and how to take corrective action to reduce your vulnerabilities.

As part of the service, we will:

• Analyze and graph your E/M and Consult CPT^® Code distributions (99201 to 99205, 99211 to 99215, 99241 to 99245, 99251 to 99255, and 99261 to 99263) and compare them to CMS's nationally accepted averages specifically for dermatology.

• Provide you with a 15-page report explaining your vulnerabilities and how you can take action to correct them.

• Provide you with instructions on how to self-audit your medical records to determine if you are choosing the correct level of care.

• We’ll also include a laminated E/M Coding matrix to assist you in determining the proper level of care for future visits.

Ordering Details

 

E/M Code Utilization Service
($99.00)

Instructions and
Order form

$99.00