Do Your E/M Service Levels Match Medical Necessity?

cover_KZAPBO_Sept2014_DoYourEMServiceLevelsMatch_CT-1KZA Practice Brief for Orthopedics – September 2014
by Cheryl Toth, MBA

In May of this year, the Office of the Inspector General (OIG) published a report describing, among other things, its methodology for evaluating E/M code documentation during audits for the Centers for Medicare and Medicaid Services (CMS). In addition to the OIG’s typical review method and process, the
report contained the following (italics ours):

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