tfischer
Guru
1.) I have a physician that is documenting the Patient's recent travel history and the patient's exposure to pets. I did not include that as part of the review of systems, because I consider that more of a social history. What would others do, or how do you include that type of documentation in your auditing?
2.) This is another question involving the same physician. This particular physicians specialty is Infectious disease. I tried to explain the high complexity part of the MDM to her,by saying the patient must have a severe, life-threatening illness, or an illness with a severe exacerbation, and so forth. She responded by saying, all of my patients have illness that may pose threat to his/her life, but it's not to say they are going to die of the illness this day or the next couple days, or maybe not at all. So by saying that, she thinks all of her consults should be a level 5. The Physician obviously can't be billing all level V's, because that will definately trigger an audit, so how can I better explain to the physician MDM or the complexity of the problem.
I hope this all makes sense, but I am trying to get this through to the physician and I'm having a really difficult time. Thanks to all that help.
2.) This is another question involving the same physician. This particular physicians specialty is Infectious disease. I tried to explain the high complexity part of the MDM to her,by saying the patient must have a severe, life-threatening illness, or an illness with a severe exacerbation, and so forth. She responded by saying, all of my patients have illness that may pose threat to his/her life, but it's not to say they are going to die of the illness this day or the next couple days, or maybe not at all. So by saying that, she thinks all of her consults should be a level 5. The Physician obviously can't be billing all level V's, because that will definately trigger an audit, so how can I better explain to the physician MDM or the complexity of the problem.
I hope this all makes sense, but I am trying to get this through to the physician and I'm having a really difficult time. Thanks to all that help.