The Challenge
Evaluation & Management Coding Errors Lead to Real Losses
Physician Evaluation & Management (E/M) services are high-volume—and high-risk. They’re among the most frequently billed codes in healthcare, yet often misbilled due to shifting guidelines and payer scrutiny. Over-coding raises audit risk. Under-coding results in lost revenue. Even experienced providers can struggle to keep up with ever-changing documentation and compliance standards.
Without regular audits and education, common issues include:
- Denials for high-level visits (e.g., 99214, 99215)
- Incorrect use of modifiers like 24, 25, and 57
- Notes that don’t support medical necessity
- Inconsistent coding across provider teams
- Heightened audit risk from payers and CMS
OUR SOLUTION
Evaluate, Educate, Improve
HIP’s Physician E/M Coding & Auditing Services combine precise audits with actionable education. We help providers understand documentation gaps, improve code selection, and reduce their exposure to compliance risk – without disrupting their workflow.
What we deliver:
- Targeted audits of outpatient and office-based Evaluation & Management services
- Detailed review of CPT code assignment and documentation alignment
- Modifier usage assessment and clarification
- Specialty-specific training for physicians and APPs
- Post-audit education, tracking, and optional follow-up audits
Why Choose HIP for Physician E/M Auditing
Targeted Evaluation & Management audits and provider training that strengthen documentation, reduce denials, and support accurate billing.
100% U.S. Based
No offshoring. All staff reside and work in the U.S.
AHIMA/AAPC
Every coder holds active credentials.
Proven Professionals
10 years of experience on average
Rapid Deployment
Get support mobilized in days, not weeks.
No Contracts
Flexible engagements with no minimum volume.
Monthly QA Reviews
Ongoing audits for accuracy and compliance.
Strict Vetting
Drug tests, credential verification, etc.
Direct Oversight
Projects led by experienced managers, not freelancers.
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