I was hoping someone could help me with a question......
I have been coding e/m for almost 3 years now. I have done several different specialty coding and have started Family practice coding. My question is if you have a provider that is putting on every note "greater than 50% of 60min appt was spent in counseling and or coordination of care." BUT when you read the document you do not have the elements that you need to do a level 5 its more like a level 3 or maybe 4. How or what do you coded off? Do you coded off of the greater than because of the new rule that was made back in 2013 or do you truly go off of the elements and maybe help educate your provider. To let him know if he truly spent X amount of time with pt was it truly in counseling/coordination of care or did he just spend a lot of time so use the prolong visit. Thank you for any help you can give.
I have been coding e/m for almost 3 years now. I have done several different specialty coding and have started Family practice coding. My question is if you have a provider that is putting on every note "greater than 50% of 60min appt was spent in counseling and or coordination of care." BUT when you read the document you do not have the elements that you need to do a level 5 its more like a level 3 or maybe 4. How or what do you coded off? Do you coded off of the greater than because of the new rule that was made back in 2013 or do you truly go off of the elements and maybe help educate your provider. To let him know if he truly spent X amount of time with pt was it truly in counseling/coordination of care or did he just spend a lot of time so use the prolong visit. Thank you for any help you can give.