How to Avoid Common E/M Coding Errors

Event Information
Product Format
Prerecorded Event
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
60 minutes
Product Description

Top Physician Audit Targets & E/M Risk Areas Including EHRs and Cloning


E/M coding is probably the most frequently billed physician service, and it seems to be getting a lot of attention lately from auditors, enforcers and whistleblowers. According to CMS, providers improperly billed $3.9 billion in E/M claims in fiscal year 2014, where claims were submitted at the wrong levels. Some of the common E/M errors include insufficient documentation, no physician authentication or wrong place of service.

Join expert speaker Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS, in this informative session to get insights on the common E/M coding mistakes, including the “dirty dozen” of EM coding. She will also discuss current E/M trends, compliance concerns, reduced payments, and share tips to ensure correct coding and payment the first time. In addition, she will also review the MACs prepayment of high level EM Services.

Handouts for attendees:

  • Documentation tips for common physician CPT® coding issues
  • Physician E/M education checklist

Session Highlights:

  • Top physician audit targets & E/M risk areas including EHRs and cloning
  • How to correctly choose the correct code and avoid under-documentation
  • MACs prepayment reviews for high-level E/M services
  • Incident-to Supervising physician clarified in 2016 Medicare Physician Fee Schedule
  • Common errors and pitfalls in E/M
  • OIG work plan and E/M services
  • Which set of E/M guidelines to use?

Session Agenda:

  • Recoveries and Scrutiny
    • FY 2014 HCFAC Program Report
    • CERT
    • OIG Strategic Plan 2014-2018
  • Documentation Requirements
  • Components of E/M Services
  • Steps to determine E/M level
  • E/M Services: The Dirty Dozen
  • Compliance Oversight and Best Practices
    • MDM documentation
    • Medical Necessity
    • Under documentation
    • Time-based codes
  • Resources & Links
  • And more!

Who should attend

Coding professionals, billing specialist, practice managers, HIM directors, compliance officers, case managers and physicians

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About Our Speaker

Elin Baklid Kunz - Medical Billing Coding Expert

Elin Baklid-Kunz is an expert in medical coding compliance who supports clients in matter across the United States with over 20 years of experience in the field.

Ms. Kunz is a national speaker and published author. Recent speaking engagements include the 2018 European Symposium on Ethics and Governance in Paris for the Organization of Economic Cooperation and Development; American Bar Association 2018 Physician Legal Issues Conference,  2017 American...   More Info
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