Medicaid keeps down coding all my 99204s to 99203s regardless of the type of visit. I requested a scoresheet to justify the down code, but they only tell me the Medical Decision Making is low complexity. They refuse to tell me why they decided it's low complexity. I don't think they bothered to read through the encounter.
Is there an E/M scoresheet used by CMS to audit these visits? Please point me in the right direction on what I can use to appeal these down codes.
Is there an E/M scoresheet used by CMS to audit these visits? Please point me in the right direction on what I can use to appeal these down codes.