• 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..

Exam component

K

krssy70

Guru
Messages
236
Location
East Providence, RI
I have a physician that stated in the patients chart that the Physical Exam was Deferred. Does anybody know how to count this?

Please help???:o
Kristen, CPC
 
I don't know why he dictacted that the exam was deferred. Theres no explanation. But I do know that the patient was present. Doc spent 50 minutes with the patient, all of which was in consultation reveiwing the patients history and diagnosis.
 
You get no credit in exam for "deferred" that means it wasn't done.

It sounds like this should be billed on time if documented properly, which makes the key components a non-issue.

If the provider documented total time and amount spent counseling/coordinating care (which must be greater than 50%) you just level based on time.

They do not have to say "greater than 50%", they can though. If he documented "I spent 50min with patient discussing (fill in the blank)" then I would use the level that 50 min falls in. Because he spent 100% of the 50 minutes it qualifies.

Laura, CPC, CEMC
 
You must log in or register to reply here.
Top