Uploaded on Apr 9, 2020
Data & Analytics usage has made easy for the payers to identify coding and other “outliers” and in return, track for audits. With a stated goal of recovering over $2 billion in “incorrect payments” it’s a bit more critical than ever for practices to be in compliance. A good tax expert on your team can also reduce accounting errors and other red flags, many practices commit documentation and management mistakes that can lead straight to the auditor’s office.
                     Avoid these 8 Steps to Reduce your Medical Coding Audit Risks
                     AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL 
CODING AUDIT RISKS
Data & Analytics usage has made easy for the payers to identify 
coding and other “outliers” and in return, track for audits. With a 
stated goal of recovering over $2 billion in “incorrect payments” it’s a 
bit more critical than ever for practices to be in compliance. A good 
tax expert on your team can also reduce accounting errors and other 
red flags, many practices commit documentation and management 
mistakes that can lead straight to the auditor’s office. 
http://www.247medicalbillingservices.com     
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL 
CODING AUDIT RISKS
But there are ways to reduce those errors and reduce audit risks in your 
medical practice:
• Avoid the overuse of Levels 4 and 5 in E/M Codes:
• The billing department’s responsibility is to avoid under-coding for E/M 
(Evaluation and management) visits, as well as the overuse of level 4 (care 
for established office patients) and 5 (care for established patients being 
seen in the office). 
• Avoid errors with an independent audit:
• Your claim procedures often audited by an outside contractor may result in 
medical billing errors as well as it keeps adhered to compliance regulations 
while improving recovery. 
• Avoid crowding with patient’s information:
• When you are using templates in EHR (Electronic Health Record) systems, 
there’s this risk of crowding it with the information of a previous patient. 
• Avoid an overlook on patient’s and employee’s needs:
• Maintaining a standard for employee performance assures further that 
practice tasks and services will help avoid confusion, and mistakes which can 
lead to audits if not rectified.
http://www.247medicalbillingservices.com     
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL 
CODING AUDIT RISKS
• Avoid an ignorant attitude regarding your business plan: 
• Many practitioners give the business concept merely on words; they believe 
that the problem will be taken care by itself by allotting the tasks to 
competent office help along with a tax expert while they focus their attention 
on delivering care. 
• Avoid Inappropriate Use of Modifiers:
• Modifiers are added to the HCPCS (Healthcare Common Procedure Coding 
System) or CPT( Current Procedural Terminology)  codes to identify why a 
doctor or other qualified healthcare professional provided a specific care and 
procedure.
• Avoid the insufficient documentation process:
• As organizations acquire practices and open new clinics, the number of 
outpatient care locations increases. 
http://www.247medicalbillingservices.com     
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL 
CODING AUDIT RISKS
About 247 Medical Billing Services:
We are a medical billing company that offers ‘24/7 
Medical Billing Services’ and support physicians, hospitals, 
medical institutions and group practices with our end to end 
medical billing solutions. We help you earn more revenue with our 
quick and affordable services. Our customized Revenue Cycle 
Management (RCM) solutions allow physicians to attract 
additional revenue and reduce administrative burden or losses.
Contact: 
247 Medical Billing Services
Tel: +1 888-502-0537
Email: [email protected] 
http://www.247medicalbillingservices.com      
                                          
               
            
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