This session will cover the most common reasons for denials in payment and audit triggers for PM&R physicians. Documentation and coding trends will be reviewed with respect to how to minimize these increasing delays in payment and recovery of presumed overpayment.

Learning Objectives

  • Identify the most common reasons for denial of payment to PM&R physicians.
  • Identify the most common circumstances which trigger an audit of PM&R physician charts, including documentation deficiencies and billing and coding trends or errors.
  • Describe the improvements in documentation and billing and coding practices which will most effectively minimize denials and audit triggers.