kpannell
New
So I have a question as a certified coder can I choose an E/M code based on the documentation provided. What are the liabilities and what are other clinics doing.
Thank you
Thank you
Is part of your question missing? The E/M is based on the documentation. If the E/M levels are not supported by the documentation that opens you up to fines and penalties. Look under false claims act.So I have a question as a certified coder can I choose an E/M code based on the documentation provided. What are the liabilities and what are other clinics doing.
Thank you
Right. So right now my providers select the E/M and I check and make sure the documentation supports the level they have chosen, if not I query them with my findings. They want me just to change it.Is part of your question missing? The E/M is based on the documentation. If the E/M levels are not supported by the documentation that opens you up to fines and penalties. Look under false claims act.
I don't see an issue here. Providers don't choose E/M levels based on the official guidelines since they don't learn them. If the providers are comfortable with you changing the E/M levels based on your knowledge of the E/M guidelines, that's fine. I think it's great that you have access to providers for questions that you may have. My providers learned to respect my coding experience and I was able to code based on documentation too.Right. So right now my providers select the E/M and I check and make sure the documentation supports the level they have chosen, if not I query them with my findings. They want me just to change it.
Right. So right now my providers select the E/M and I check and make sure the documentation supports the level they have chosen, if not I query them with my findings. They want me just to change it.
this is correct.i do have a question regarding this. what if provider select 99211? those are not billable under provider right? provider has to select atleast 99212 if i am not wrong? please help.