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Pulmonology Coding Alert

E/M Errors:

Take Corrective Action Fast to Reduce Possibly Inflated E/M Claims that CERT has Flagged

Even NPP claims are equal culprits. Audit studies have always found evaluation and management coding and “incident-to” billing as regulars at the top of the suspect list — and the latest CERT study has just validated the long believed suspicions. With repeated flags on the E/M services and their billing, you would expect better compliance and scrutiny by practices while [...]