Ensuring Accuracy By
Implementing Best Practices

E/M Auditing & Consulting

CMS audits have revealed that nearly 42% of claims with evaluation and management codes are incorrectly billed every year. With more changes on the horizon, that number is likely to increase drastically. Vee Technologies conducts a deep dive into the levels of service coded and billed, ensuring appropriate assignment of CPT code(s) based on Medical Necessity, History, Physical Exam, Medical Decision Making and/or Time Spent Counseling and Coordinating Care for the Patient.

  • What Will We Assess:
    • Payment integrity audits
    • Correct coding audits based on NCCI principles
    • E/M level utilization and benchmarking
    • Medical necessity audits
  • How We Will Deliver Results:
    • Retrospective chart review
    • Data analyzation
    • Education and collaboration with administrators & providers to improve workflow (EHR recommendations)
  • Delivery Recommendations:
    • General education for 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
    • Meet with providers for educational sessions