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Hello friends, I am having a struggle with the MDM on a sore throat, and I am seeing this increasingly on documentation, and even my providers are divided on this subject. A patient comes in, diagnosed with sore throat, are basically told it will run its course, rest and salt water gargles are...
How do I do this? New inpt initial hospital care (99221) with the decision for both procedures (19303, 90 day global) & (36561, 10 day global). Medicare patient. I used the 57 modifier on the 99221. Medicare denied 99221 so we appealed.
This is the response from Medicare: We received an...
Im looking at how I would explain a 99213 if I were to have to defend it in court.
Case- A patient comes in with a new problem of OM (no other problems) & the provider prescribes an antibiotic.
Question- If the only two options are self limited/minor or New problem. How do people get a 99213...