Take proper steps to document consultations accurately

Conduct an audit, hire a risk consultant to help identify the errors

Consultations fall in the category of a higher-paying E/M service because a consultation usually requires more of the physician’s time and involvement.

Therefore, proper documentation and coding is essential to receive deserved reimbursement. And because of the higher reimbursement associated with consultations, these visits face increased regulatory scrutiny, making accuracy all the more important.