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Is Evaluation & Management (E&M) coding a problem
for your practice? Of course, it is. Private and government
health plans are finding that office visits, consultations,
inpatient visits etc. are a lucrative area for auditing and
downcoding services retroactively. Some clinicians are chronically
vulnerable to retrospective coding audits due to insufficient
documentation. Others routinely undercode their services,
accepting significantly lower reimbursement for fear of being
penalized in the future.
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