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I got my cert last December 2019 and I began doing Hospital inpatient in July. Going over the E/M using the auditor tool knowing 3 out of 3, and 2 out of 3. I felt comfortable going forward after how my manager explained it. But 5 months later she said that the MDM "has" to be on of the two to determined what code.
Here is an example...a subsequent hospital HX-EPF,Exam-Comp and MDM-SF/or Low. She told me two out of three I can post a 99232. But now same situation she said since the MDM is a low it has to be one of the two to be consider 99232. If not than it should be 99231. Is it company specific policy or Medicare policy that the MDM has to be one of the two components. I'm so confused now.
Here is an example...a subsequent hospital HX-EPF,Exam-Comp and MDM-SF/or Low. She told me two out of three I can post a 99232. But now same situation she said since the MDM is a low it has to be one of the two to be consider 99232. If not than it should be 99231. Is it company specific policy or Medicare policy that the MDM has to be one of the two components. I'm so confused now.