Billers and Coders Digest
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Thursday October 17, 2013 | Edition 1.70

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Billers and Coders needed for correctly coding E/M services!
Accuracy in coding for Evaluation and Management is a crucial factor for coders. Coding incorrectly or reporting with wrong documentation for E/M services can be a major cause of concern for the coders. Incorrect documentation can lead to major compliance violations and may cause loss of income for the physicians. Hence, the coder is required to understand the requirements of E/M documentation guidelines and the procedure to prepare correct documentation. Let us now see the main components of E/M documentation.

Challenges faced by Practices while coding for E/M services
More than 50% of practices face problems in identifying the qualifying factor for a particular level of E/M services
One third of practices find the rules for E/M coding lengthy and quite confusing Read More
Main Components of E/M Documentation
The documentation for E/M services is based on three components:
  1. History
  2. Physical Exam
  3. Medical Decision-Making
Billers & Coders to help practices assess the Financial Impact of ICD-10
The implementation of ICD-10 coding means facing the challenges of an unknown entity. When it comes to facing the financial aspects of ICD-10, billers and coders have to be very cautious while adopting this transition. It is important for the billers and coders to help practices consider the financial aspect of transitioning to ICD-10 coding, or else it could prove to be the great disaster for the practice. As billers and coders act as a catalyst in the ICD-10 implementation, it is crucial for them to understand the financial aspect of ICD-10 coding and ... Read More
CMS Updates
1 CMS-1500 Claim Form Updates: Medicare to Accept Revised Form Starting January 2014 Read More
2 New Data Show Antipsychotic Drug Use Is Down In Nursing Homes Nationwide Read More
3 New Resources Available To Help Consumers Navigate the Health Insurance Marketplace Read More
How billers and coders help with coding of E/M services?

Analyze the coding profile: To access the coding habits, billers and coders need to create the breakdown of codes previously reported, and compare the coding patterns to the benchmark. Most computerized billing systems can produce a report that includes the data about every codes reported. Use this information in this report to calculate the E/M coding distribution.

Analyze the list of most frequently used codes for Medicare: Coding errors performed quite frequently can prove to be more costly than rarely used codes. Hence it is important to ensure that documenting and coding these more common services are done correctly. Also, as you analyze the most frequently used codes, taking a look at the services provided by the practice but which are not billed can also help more revenue if that practice offers those services.

Conducting a chart audit: This is one of the best methods used to uncover gaps between the codes documented and coded. Major difference between what is documented and what is coded indicates that it's time to review the E/M documentation guidelines.

Compare your coding profile with Medicare benchmarks: This can prove to be a valuable exercise when performed regularly, along with a self-audit. It can alert you to coding trends within the practice that you might not be aware of, and it can indicate when it's time to brush up on your coding skills.

Analyzing the coding errors and correcting it in a timely manner can significantly affect the overall revenue of the practice. Due to the numerous challenges faced while E/M documentation, various practices are willing to hire medical billers and coders to take care of their coding and documentation requirements. is catering to the healthcare industry for over a decade now, across all 50 states and 42 specialties. MBC’s wide network across all the states and the MBC job board strives to provide all medical billers and coders with a platform to acquire jobs in various healthcare organizations.

Our job portal, industry updates and newsletters provide a vast pool of opportunities and knowledge to our coders; along with constant updates about industry changes like the ICD-10 transition updates through our ICD-10 training guide. Our coding specialists are constantly trained and updated about recent industry updates, hence are able to provide accurate solutions to healthcare providers across all specialties & states.

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