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Medicare Compliance & Reimbursement

Compliance:

Know When a Coding Audit Finding Belongs in the Board Report

Published on Mon Aug 24, 2026

Question: One of our three outpatient practices has missed our 95 percent coding accuracy target for two consecutive quarters. After education, its accuracy improved to 89 percent from 82 percent, but follow-up audits still show unsupported evaluation and management (E/M) levels and inconsistent modifier use. Should I report this to the governing board, or is it enough to keep the [...]
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