tfischer
Guru
For an established patient visit only two of the three components need to be met in order to obtain a level of care. I have a few physicians that are overdocumenting on the established patient encounters. With an end result of the history and examination outweighing the medical decision making.
The CPT book says, base the level of care off of 2/3 components, BUT all that documentation is not really necessary based on the MDM. Does any one have any recommendations? Do you bill off the 2/3 components, or do you bill the level of care the MDM is supporting?
Thank you,
The CPT book says, base the level of care off of 2/3 components, BUT all that documentation is not really necessary based on the MDM. Does any one have any recommendations? Do you bill off the 2/3 components, or do you bill the level of care the MDM is supporting?
Thank you,