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. |