Conduct E/M coding audit to ensure compliance, enhance practice revenue
Editor's note: In the first article of a two-part series, MCCRA talks to coding experts about the use of internal coding audits to assess their readiness for an external audit and prevent the leakage of revenue. Part two will discuss training physicians and staff members to improve coding.
A coding audit is a terrific tool for physician practices to spot deficiencies in their claims submissions, especially for E/M codes. Identifying shortcomings in coding is important for two reasons.
First, the OIG expects healthcare providers to ensure that claims they submit to federal healthcare programs, such as Medicare and Medicaid, are accurate. Second, systematic undercoding by one or more providers leads to revenue shortfalls for physician practices.
Most Viewed
Most Emailed
- ICD-10 Coding Uncovers Higher Rate of Fatal Falls Among Seniors
- Mapping Out Revenue-Cycle Solutions
- Will Maryland's Rate Shift Send Tremors Around the Country?
- MO Hospitals Review Highlights Value of Disaster Preparedness
- Medical Boards Step Up Disciplinary Actions
- E-book Revolution Changes, Challenges Healthcare
- Best Healthcare Leaders Know When to Exit
- FL Hospital Vendors Sentenced in Bribery Scheme
- Aetna Building National ACO Network
- Eat Healthful Food...If You Can Find It


Comments are moderated. Please be patient.