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Webnews – Audit focus notes – Evaluation and Management Scorecard 101 Basics

On June 6, 2012, Novitas Solutions, a Part B Medicare Administrative Contractor hosted a webinar titled Evaluation and Management Scorecard 101 Basics. A couple of interesting points were made regarding CERT audits. The current focus of the audits, according to the presenter, include:

  • Poor documentation of the level of service for evaluation and management (E/M) codes
  • Missing or illegible provider signatures in records, which renders the records incomplete
  • Missing orders for diagnostic tests

We encourage our clients to monitor charts for accuracy in all aspects of documentation and coding, paying particular attention to items such as these where we know the reviewers are focusing.

Additional information can be found in the discussion of CERT auditors on Novitas Solutions’ website at: https://www.novitas-solutions.com/cert/index.html.

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