Provider Education is Key to Improving E/M Coding Accuracy

Did you know that approximately 94% of physician billing errors are simply mistakes? Without routine audits, patterns of inaccuracy are often overlooked - leading to roughly $6.7 billion per year in inappropriate payments.

More than 55% of E/M claims are incorrectly coded and/or lack documentation. The Change Healthcare Coding Advisor solution uses a four-phase approach to increase provider awareness and change ingrained behaviors, resulting in accurate, clean claims.

After using data analytics to identify outlier providers, our team delivers education to the providers and their billing staff to foster a more thorough understanding of coding requirements. Subsequent data validation helps to ensure that coding errors are substantially reduced.

The first client to implement Coding Advisor reduced its payments by $27 million in the first year alone.