Evaluation and Management Coding Services

Evaluation and Management Coding Services: Precision and Expertise for Healthcare Organizations

Overview

Our Evaluation and Management (E&M) coding services are led by a nationally recognized expert with dual certification in coding and instruction, bringing over 25 years of experience in enhancing documentation and coding compliance. We have trained thousands of physicians and coders, ensuring improved medical record documentation and accurate E&M code selection.

The Need for Specialized E&M Coding

E&M coding is critical across all clinical specialties and subspecialties, presenting unique challenges due to its complexity, especially in Medical Decision Making. The need for specialty-specific training and experience is paramount, as the requirements vary significantly across different areas of medicine.

Finding experienced E&M coders, especially those with certified procedural coder designation, is challenging. These professionals are in high demand due to the intricate and frequently changing coding guidelines for E&M services. Errors in coding can lead to significant financial losses or compliance issues, making experienced coders invaluable.

Our Solution

We offer comprehensive E&M coding services tailored to both inpatient and outpatient settings, covering a wide range of medical specialties. Our team consists of certified coders with extensive experience in specific medical fields, ensuring accurate and compliant coding.

Specialties Covered

Our coders have specialty experience in the following areas:

  • Allergy and Immunology
  • Cardiology
  • Cardiothoracic Surgery
  • Colorectal Surgery
  • Dermatology
  • Endocrinology
  • Family Practice
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Gynecology
  • Hematology-Oncology
  • Hospitalist
  • Infectious Disease
  • Internal Medicine
  • Neonatology
  • Nephrology
  • Neurology
  • Neurosurgery
  • Ophthalmology
  • Orthopaedic
  • Otolaryngology
  • Pain Management
  • Pediatrics
  • Pediatric Surgery
  • Physical Medicine
  • Podiatry
  • Pulmonology
  • Radiation Oncology
  • Rheumatology
  • Surgery
  • Surgical Oncology
  • Trauma and Burn
  • Urology
  • Vascular / Endovascular Surgery
  • Wound Care

Benefits

  • Quick Turnaround: Services are coded within 2-to-3 workdays, ensuring timely billing and reimbursement.
  • Documentation Improvement: We identify and address documentation deficiencies to enhance medical record quality and maximize reimbursement.
  • Cost-Effective: Our pricing model is designed to be affordable, helping stabilize cash flow.
  • Compliance Assurance: Reduce the risk of audits and penalties with our accurate coding practices.

Services Offered

  • Coding Coverage: Temporary or ongoing coding support for all or part of your caseload.
  • Backlog Resolution: Efficiently address coding backlogs to maintain operational continuity.
  • Compliance Audits: Identify missed revenue opportunities and ensure compliance.
  • Superbill Updates: Keep your charge tickets current with the latest coding changes.
  • Physician Training: Improve documentation and code selection with targeted training.
  • Coding Helpline: Access to expert advice for coding questions and challenges.
  • Audit Defense: Support for defending against OIG and RAC audits.

Commitment to Excellence

We are committed to providing high-quality E&M coding services that meet the specific needs of hospitals, clinics, and revenue managers in large to mid-size U.S. healthcare organizations. Our goal is to ensure accurate coding, compliance, and optimized revenue for our clients, backed by our expertise and experience in the field.

Latest Blog Posts:

Medical Coding Compliance: The Good, the Bad, and the Ugly

September 7th, 2024|Comments Off on Medical Coding Compliance: The Good, the Bad, and the Ugly

In today's complex healthcare landscape, maintaining coding compliance is more crucial than ever. Recent developments from the Department of Justice (DOJ), including the launch of the Corporate Whistleblower Awards Pilot Program (CWAPP), have further emphasized [...]

The DOJ’s New Whistleblower Program: A Vital Step for Medical Coding Compliance

August 8th, 2024|Comments Off on The DOJ’s New Whistleblower Program: A Vital Step for Medical Coding Compliance

On August 1, 2024, the U.S. Department of Justice (DOJ) launched its Corporate Whistleblower Awards Pilot Program. This initiative is a significant development in the DOJ's efforts to uncover corporate misconduct, particularly in areas not [...]

How to Reduce Overtime From Your Medical Coding Budget

July 19th, 2024|Comments Off on How to Reduce Overtime From Your Medical Coding Budget

Every coding operation, no matter how large or small, suffers from unavoidable coding outages due to: Vacations Sick Leave Maternity Leave Family Leave Coder Turnover In most cases, in-house coding operations choose one of the [...]

Coding Compliance Audits: Uncovering Deficiencies and Solutions

March 7th, 2024|Comments Off on Coding Compliance Audits: Uncovering Deficiencies and Solutions

In an era where healthcare systems are intricately tied to digital platforms, meticulous coding accuracy cannot be a mere afterthought; it is an absolute necessity. Often overlooked, coding errors are the silent killers of compliance [...]