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E&M Bell Curves Are Shifting Right - What Can Physician Employers Be Doing?

Based on a review of Medicare Part B data, physicians used more high-level evaluation and management (E/M) codes in 2014 than they did in 2009. This is not a new trend. In 2012, the OIG issued the results of a study showing that between 2001 and 2010, physicians increased their billing of higher level (i.e., more complex and expensive) E/M codes in all 15 visit types. In light of the trends we are seeing, here are a few steps that physician employers can take to assess and reduce compliance risk. 1. Run distribution analyses on physician E/M codes. Compare the results to other physicians in the same specialty. (Data can be downloaded from the CMS website.) 2. Given the OIG's interest in

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