Revenue loss due to under coding $35,000
 

AAFP & Medical economics estimates $35,000 of annual revenue loss to doctors who routinely down-code level of visit due to inadequate documentation required to justify documentation level.

Most visits are coded more on deficiencies in documentation than on the medical necessity, risk factor & other criteria of the visits and are generally done due to fear of insurance audit. Using PracticeSuite’s EMR enables rapid, extensive documentation of visits, making it possible to properly & adequately document level of services to justify the appropriate coding level.

Practices using EMR noted increased reimbursement and savings in supporting insurance audit documentation and having the peace of mind that you have documentation to substantiate your level of coding.

Using PracticeSuite's consultation sheet, canned sheet and copy of follow-up visits enables doctors to capture depth of HPI, History, negative ROS and PE very quickly using canned sheets. PracticeSuite gives you the flexibility to either dictate, handwrite or click and type. Using all these varied forms of data entry, clinical documentation can be easily completed within 2 to 4 minutes depending upon the nature and complexity of the visit.

PracticeSuite E&M Coder validates visits to ensure documentation meets the coding level requirements

 
 

A

Average patients visits per day

25 visits

B

Approx visits under coded per day

10 visits

C

Approx visits under coded per month
( B x 20 working days)

200 visits

D

Approx visits under coded per year
( C x 12 months)

2400 visits

E

Revenue loss to due under coding
(Estimated difference between two levels of coding)

$15 per visit

F

Revenue loss per year ( D x E )

$36,000

 
     

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* Information deemed reliable but not guaranteed
* Above estimate is for a one doctor practice