JRae5M
Contributor
I do internal auditing of E/M levels. I was initially asked to do this in order to educate the provider on how to improve documentation in order to better support the billed level of service in the future. The company is now asking me, pre-billing, to place an addendum on the provider's note stating the level of service that I find is supported as written. This is to be done when the provider refuses to change the level of service. I know that the provider is legally responsible for the DX code, but is there an ethical or legal conflict with changing the selected level of service? Is there a conflict with what I am being asked to do? Jacki M., MA CPC-A
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