kristy2
Contributor
Can anyone help point me in the right direction!
I am working on a chart audit (first one) for a physician whose 99214 visits have been down coded by CMS to a 99213. In each case the physician treated patients with multiple (3 or more) chronic conditions that were all in stable condition. No additional work up or change in medications.
He knows his documentation guidelines well, and feels that because there are multiple chronic conditions documented it qualifies as a level 4 through the HPI and MDM.
I need some supporting documentation that supports overarching. I have been on the CMS website and reviewed the E&M documentation guidelines. I am having troubles finding documentation to support my rational that will be clear to the physician. Does anyone have any ideas or suggestions????? Does anyone know of an article I can reference on this subject?
I am working on a chart audit (first one) for a physician whose 99214 visits have been down coded by CMS to a 99213. In each case the physician treated patients with multiple (3 or more) chronic conditions that were all in stable condition. No additional work up or change in medications.
He knows his documentation guidelines well, and feels that because there are multiple chronic conditions documented it qualifies as a level 4 through the HPI and MDM.
I need some supporting documentation that supports overarching. I have been on the CMS website and reviewed the E&M documentation guidelines. I am having troubles finding documentation to support my rational that will be clear to the physician. Does anyone have any ideas or suggestions????? Does anyone know of an article I can reference on this subject?