Physician E/M Coding Validations

Correct coding of evaluation and management (E/M) services are vital in physician practices. The documentation guidelines and regulatory changes placed on a practice are increasing, which can make the time to problem-solve and implement changes limited.  AMS Consulting Services physician practice consultants are skilled at minimizing clients’ risk exposure as well as researching operational process solutions and additional revenue.

Our E/M Coding and Validation Services include:

  • Validating E/M services and Current Procedural Terminology (CPT) surgical coding
  • Validating diagnosis coding as it supports Medical Necessity
  • Compliance risk assessments of physician services
  • Education on medical documentation principles
  • Compliance assistance for the elements of E/M
  • Documenting critical care services
  • 1995 versus 1997 documentation guidelines
  • “Incident to” for non-physician practitioner services
  • Modifier -25 usage
  • Billing E/M services during the global period
  • Use of modifiers -24, -25, -54, -55, -57 and modifier usage in general
  • Locum Tenens coding and billing

For further information regarding the Physician E/M Coding Validation Services, please Contact Us