E/M Template: Reduce Your Chances of an Audit


CMS auditors have a huge financial incentive to dig into your E/M levels and find errors. The incentive: They are paid on the fines and reimbursement repayments they collect from you based on the errors they uncover — and they are using the E/M levels you report to determine if you’ll get added to their audit list.

Ultimately, you want to stay off CMS’ audit radar altogether. But if you are ever fingered for an audit and they do find something, the excuse that you didn’t know won’t fly. The only way to protect yourself from expensive fines and repayments is to have a solid handle on the accuracy of your E/M levels. And if you rely on the E/M templates from your electronic health records (EHR) to pick those levels it is only a matter of time before auditors knock on your door.

CMS reports that E/M coding errors account for $4.2 Billion in erroneous reimbursements – and many of those errors occur due to the use of EHR templates. No question about it, if your E/M levels are not determined to be accurate, your claims will eventually be flagged as either upcoding or downcoding. This raises a bright red a flag for CMS and its auditors. And when CMS is trying to recoup reimbursement, you don’t want to be drawing attention to your practice.

So, what can you do about it?

In only 60 minutes you can get the answers you need from national coding expert, Kim Garner-Huey – MJ, CHC, CPC, CCS-P, PCS, CPCO. Her practical step-by-step training session will walk you through the most comment and expensive E/M problems, and then show you specifically how to fix them.

You will quickly learn what specific template modifications to make to significantly reduce your chances of getting flagged for an audit, and help you ensure your E/M template optimizes your coding levels to more accurately reflect the services you provide.

For over 2 decades, Kim has audited thousands of medical charts and trained hundreds of physician practices on how to ensure their chosen E/M levels are accurate. Now let her use her proven tactics to help you.

“My goal with this session is to provide you with easy, proven tactics you can use to ensure your E/M templates are accurately coding your E/M levels so you can receive more of the reimbursement you deserve, and ultimately stay off of CMS’ audit radar,” Kim Huey

Here are a just a few of the proven strategies you’ll receive by completing this practical training:

  • Stop template-driven contradictions from getting you audited
  • Get paid more for your E/M services with simple rule for recording chief complaints
  • Boost your E/M reimbursements with PFSH term “noncontributory”
  • Improve payup for time-based office visits with discussion/counseling indicators
  • Maximize critical care coding with consolidated time calculation
  • Stop denials for Level 4 visits with proven recording method
  • And so much more

Don’t let saving time cost you tens of thousands of dollars in miscoded E/M claims. In only 60-minutes, you can receive a step-by-step plan to rectify your template problems, and in return get paid more of what you deserve for the E/M services you provide. Don’t wait, order this great training session today.

Remember, if your E/M levels don’t fall within the norms identified by CMS’ Coding Trends of Medicare Evaluation and Management Services report, it is only a matter of time before their auditors come knocking on your door looking to collect from you.

And if they come, you better be prepared. If not, you could end up repaying tens of thousands in previously receive reimbursements, not to mention having to pay additional fines and penalties.

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.