• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki ER visit without any MDM

Create Wiki
A

AuditU

Networker
Messages
64
Best answers
0
Hi!
I have a question regarding level of service for E/M visit - Provider performed HPI and exam. Proceeded to order tests, etc., but patient left AMA. Would this be billed? My thinking is no, because there was technically not any medical decision making that took place.

Thanks,
J
 
oops anyway provider did work including Hand P as well as ordering tests. The patient in the ED is almost always new to provider which captures another MDM element. But I'd agree you don't have a complete plan of care or treatment. I have seen cases like this billed based on the documentation given, other times not billed. But my leaning would be that there is enough documentation to support billing. My only caveat would be if the patient waited for hours in the ED and left in frustration and that is documented. Jim
 
You must log in or register to reply here.
Top