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 billed incorrectly every year. With more changes on the horizon, that number is likely to increase drastically. Vee Healthtek conducts a deep dive into the levels of service coded and billed, ensuring appropriate assignment of CPT codes based on medical necessity, history, physical exams, medical decision-making, and time spent counseling and coordinating care for the patient.


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