Code Blue Coding was contracted to develop and implement an E&M Coding Educational Program for the Department of Family Medicine at a nationally renowned academic medical center.
After internal billing quality audits, it was determined that physicians were significantly undercoding for the work that had been done. There was also a need to update the compliance plan with clinical documentation strategy.
Two four-hour educational sessions were held five months apart. These sessions covered the foundation of CMS E&M Coding documentation guidelines as well as other pertinent topics. These topics included:
- Established Patient Office Visit
- New Patient Office Visit
- Preventive Care
- CMS Teaching Rules
- Billing by Time
- Care Plan Oversight
The Department of Family Medicine tracked coding performance before and after the educational seminars.
RESULT: The reimbursement climbed 14% on an annual basis. This produced a revenue increase of $252,000 per year or a 1902% return on investment when revenues were compared to the costs of the programs. The compliance plan was also updated to reflect the training and education for future audits.