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Wiki inpatient subsequent plus prolonged svc

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Lisa Bledsoe

True Blue
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2,037
Location
Greeley, Colorado
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My palliative care provider reports 99233, 99356, 99357. When auditing her documentation for the level of service I usually only get 99232; she is arguing with me that she can code the 99233 based on time, not history/exam/MDM. How can I explain to her that even though we subtract the "typical time spent" time of the "companion code" from total time to determine the reporting of 99356/99357, that she should not code the level of service for her subsequent hospital visit based on time?
 
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