Clinicians who learn how to code and document Evaluation and Management and clinician services will be more successful in gaining timely payment for care delivery.Which of the following CMS practices is designed to financially penalize clinicians who do not bill according to CMS guidelines?

Question

Quizplus · Accepted Answer

Audits and probes are CMS practices designed to financially penalize clinicians who do not bill according to CMS guidelines. Audits involve a review of a provider's claims to ensure compliance with regulations, while probes are targeted reviews of specific claims or services. Both can result in financial penalties for providers who are found to be non-compliant with CMS guidelines. Add-on codes, modifier codes, and HAC guidelines do not involve financial penalties.

Clinicians Who Learn How to Code and Document Evaluation and Management