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Activity Provided By:

American Association of Colleges of Pharmacy

How to Defend an Adverse E/M Audit

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Overview / Abstract:

It’s essential to understand what is in E/M guidelines, and more importantly, what is NOT. The information in this webinar will help you to defend decisions relative to the appropriate level of E/M code selection and to defend you against inappropriate down-coding.

You Will Learn:
Areas in E/M guidelines that require subjective analysis, leading to disputes regarding E/M code levels
Common approaches to E/M analysis that require you to use tools external to the guidelines and their implications when reporting audit results
How to identify errors and to apply the express provisions of the guidelines to effectively challenge inappropriate down-coding of E/M services


Sep 03, 2020


Informatics / Coding / Billing CE





Credits / Hours


Presenters / Authors / Faculty

Mr. Miscoe has a bachelors of science degree from the United States Military Academy, a juris doctorate degree from Concord Law School, is a Certified Professional Coder, Certified Ambulatory Surgical Coder, Certified Urology Coder, Certified Chiropractic Professional Coder, Certified Professional Compliance Officer, the President of Practice Masters, Inc., and the founding partner of Miscoe Health Law, LLC. He is a past (2007-2009) and current (2013-2015) member of the National Advisory Board of the American Academy of Professional Coders (AAPC), is a current member of the AAPC Legal Advisory Board and is the Chair of the AAPC Ethics Committee. He is admitted to the practice of law in California as well as to the bar of the United States Supreme Court and the US District Courts in the Southern District of California and the Western District of Pennsylvania.

Mr. Miscoe has over twenty years of experience in healthcare coding and over sixteen years as a compliance expert, forensic coding expert and consultant. He has provided expert analysis and testimony on a wide range of coding and compliance issues in civil and criminal cases and now represents healthcare providers in post-payment audits as well as HIPAA OCR matters. He has an extensive national speaking background and has been published in numerous national publications on a variety of coding, compliance and health law topics.

Keywords / Search Terms

American Association of Colleges of Pharmacy

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