This article is for physicians and practitioners and their office staff and billing agencies
- Receive useful data insights about your claims
- Maximize coding efficiency and accuracy
- Reduce the burden of a traditional audit
It's well known that coding of Evaluation and Management (E/M) services is a challenge for many providers because it requires you to determine which level of CPT code appropriately reflects the complexity of the visit. More mistakes are made coding E/M services compared to coding for other services.
To help educate and inform practices on your E/M billing, we’re implementing Change Healthcare’s Coding Advisor solution (Coding Advisor) starting in September.
This is an educational program we’re offering to support your practice. It is not intended to question your treatment methods or clinical judgment.
What’s Coding Advisor and what will my practice receive?
Coding Advisor will review the use of billing for certain services for all providers submitting claims to Blue Cross. These may include, but are not limited to:
- Chiropractic services
- Complex services
- E/M codes
- Psychotherapy assessments
- Modifier 25 billing
Coding Advisor will contact qualifying providers on behalf of Blue Cross with a series of communications which may include:
- Mailed letters with reports for you to review your claim activity
- Educational phone calls from Coding Advisor’s mastery level professional coders
- Claim status messaging through the Change Healthcare Clearinghouse (when applicable).
Through this program, Coding Advisor will monitor billing practices and will send updated report(s) periodically. They may contact your practice to identify coding discrepancies and to provide customized coding education.
Contacting Coding Advisor
If you have questions, please call Coding Advisor Customer Support at
1-844-592-7009, Option 3.
Thank you in advance for taking the time to review and act on the information that Coding Advisor sends you.
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