Coding Audit

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ppa_i_-_em_audit_results.xls

Sheet1

Financial Impact of Evaluation and Management Coding Audit
CPT CODE ORIGINAL NUMBER OF CASES FEE TOTAL CHARGES ($) NUMBER OF CASES AFTER AUDITING/RECODING TOTAL CHARGES ($) VARIANCE ($)
99201 151 $40 $6,040 240 $9,600 $3,560
99202 68 $55 $3,740 135 $7,425 $3,685
99203 93 $90 $8,370 61 $5,490 ($2,880)
99204 34 $125 $4,250 8 $1,000 ($3,250)
99205 2 $150 $300 1 $150 ($150)
99211 364 $30 $10,920 334 $10,020 ($900)
99212 335 $40 $13,400 581 $23,240 $9,840
99213 174 $65 $11,310 20 $1,300 ($10,010)
99214 122 $90 $10,980 1 $90 ($10,890)
99215 9 $125 $1,125 0 $0 ($1,125)
99221 127 $100 $12,700 123 $12,300 ($400)
99222 115 $125 $14,375 64 $8,000 ($6,375)
99223 91 $175 $15,925 21 $3,675 ($12,250)
99231 66 $45 $2,970 106 $4,770 $1,800
99232 66 $65 $4,290 45 $2,925 ($1,365)
99233 18 $100 $1,800 0 $0 ($1,800)
99241 85 $125 $10,625 50 $6,250 ($4,375)
99242 44 $145 $6,380 10 $1,450 ($4,930)
99243 60 $150 $9,000 0 $0 ($9,000)
99244 27 $175 $4,725 0 $0 ($4,725)
99245 11 $200 $2,200 0 $0 ($2,200)
99251 54 $125 $6,750 88 $11,000 $4,250
99252 34 $145 $4,930 0 $0 ($4,930)
99253 20 $150 $3,000 0 $0 ($3,000)
99254 64 $175 $11,200 19 $3,325 ($7,875)
99255 11 $200 $2,200 0 $0 ($2,200)
TOTALS: 2245 $3,010 $183,505 1907 $112,010 ($71,495)

Sheet2

Sheet3