Ensuring Accuracy by Implementing Best Practices
E/M Auditing & Consulting
CMS audits have shown that nearly 42% of claims with evaluation and management codes are billed incorrectly each year, a figure expected to rise with upcoming changes. Vee Healthtek performs an in-depth analysis of service levels coded and billed, ensuring accurate assignment of CPT codes based on medical necessity, history, physical exams, medical decision-making, and the time spent on counseling and coordinating care for patients.
What We Assess:
- Payment integrity audits
- Correct coding audits based on NCCI principles
- E/M level utilization and benchmarking
- Medical necessity audits
How We Deliver Results:
- Retrospective chart review
- Data analysis
- Education and collaboration with administrators and providers to improve workflow (EHR recommendations)
Delivery Recommendations:
- General education for the entire organization/department (recommended annually with regulatory updates)
- One-on-one sessions with physicians to discuss findings
- Small group training
- Education for new providers and habitual offenders
Workflow Process:
- Select documentation to audit
- Categorize audit findings
- Meeting with providers for educational sessions
We Offers:
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Remote Coding
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Coding Audits
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Clinical Documentation Improvement
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Clinical Abstraction
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HCC Coding
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Virtual Scribe
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E/M Auditing & Consulting
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Care Coordination and Chronic Care Management