Then I document the visit and figure out which code to charge.
The miracles are the easy part.
I needed help. And I got it.
A fellow doctor, a coach in documentation and coding, helped me translate my clinical thinking into a briefer note and an accurate, often higher, E&M code.
How E&M CodeRight works
2021 substantially changed how care is documented and coded
Make sure that your group translates the promises into realities
The Promise
CMS promised that the 2021 E&M guidelines would reward your doctors’ cognitive work
The Challenge
Clinicians struggle to understand the obscure language defining the codes.
And coders struggle to explain the subtle but important clinical distinctions between levels of code.
A Happy Solution
MediSync’s physician coaches will translate the coding terms into the clinical language your doctors already use.
Level 4 and 5 codes will increase!
Many groups miss their biggest revenue opportunity
In 2022 (now more than ever) medical groups are starving for revenue
Many of your doctors are undercoding their E&M encounters
When physicians feel uncertain, they lower their codes
In CMS 2021 guidelines, the vast majority of patient encounters related to chronic diseases are Level 4 or Level 5 codes
When they get the RVUs they earned, doctors are happier and so are group leaders
Endorsed by physicians and leaders based on the collaborative experience and the results
The correct E&M code walks through the door with the patient. Physicians struggle to “see” how each patient’s disease burden translates into a succinct note and an accurate code. The MediSync physician trainers got through to our doctors more clearly than our coders could. We went from under coding to accurate coding.
One of the greatest values of E&M CodeRight is the immediate impact on physician behavior. After the first 90 minutes of training, I was kicking myself that I left thousands of dollars each year on the table because I did not fully understand.
Many physicians dump all sorts of extraneous data in their patient notes in the hopes that something will improve their code. Once physicians know what they are doing, note bloat gives way to notes that are shorter and more to the point. For most docs in our group there were more Level 4 and 5 codes per day.
Having a physician teach me the E&M system was a revelation. I had never understood it before. Having the same physician go over my notes with me and point out missed opportunities for higher codes and show me how to cut down on my documentation sealed the deal.
MediSync’s E&M CodeRight has been a win-win scenario. It is abundantly obvious that primary care has been leaving hundreds of thousands of dollars (or more!!) on the table each year due to incorrect coding. Plus, my production has increased as I have become more efficient.
I have discussed this training with my group, and the universal agreement was that this was the best documentation and coding training we have ever received.
Industry Insight
The Primary Care Physician’s Impossible Job
Automated down-coding tactics by some commercial carriers exacerbates the PCP’s impossible job.
Martin Lehenbauer, MD, graduated from the University of Cincinnati College of Medicine. He completed his Family Practice residency at Family Physicians Association in Sylvania, Ohio. After 30 years of Family Practice in Mason, Ohio, Marty retired from TriHealth (formerly Health First Physicians) in December of 2014. Outside of MediSync, Marty enjoys spending time with his family, participating in church activities, and working on recycled wood projects.
Linda Taylor, MD
Linda Taylor, MD, is an American Board of Family Medicine certified physician with more than 25 years of patient care experience in Pennsylvania and Maryland. Dr. Taylor completed her medical training at Rush Medical College of Rush University Medical Center in Chicago, IL, as well as her residency at the University of Pittsburgh Medical Center’s UPMC Harrisburg (PA) hospital. Following her career in primary care, Dr. Taylor joined MediSync as a Physician Trainer in addition to her past service as an adjunct faculty member at Geisinger Commonwealth School of Medicine.
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