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E/M Auditing: A Step-By-Step Guide to Updated Coding, Reimbursement, and Compliance

E/M Auditing is an essential tool to ensure success and E/M compliance for 2021. This book goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas.

This book will help practices enhance existing auditing programs by explaining how to determine accurate E/M error rates and assess risk.

You will learn how to:

Determine proper E/M code selection
Conduct risk assessments
Structure and package audits
Use the new E/M guidelines under the new medical-decision-making criteria
Create provider audit summary reports, practice audit summary reports, missed revenue reports, and an action plan
Follow guidelines for facility E/M services and interpret the rules governing E/M services involving residents or fellows (including acceptable and unacceptable documentation and student documentation)
Develop a compliance plan and educate a variety of audiences from physicians to coding staff
Look at overall medical necessity when assigning E/M levels

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