I have a billing client who is in the middle of an insurance audit. I have since been reviewing all level 5 services before billing - with his permission. Almost all have not met criteria (he tends to bill all pre-op clearance exams and new patient exams as a level 5). I give detailed feedback on each along with the appropriate CPT code. Recently, he has been wanting me to bill "as is", even though I have advised him that these services do not meet documentation guidelines. Can I have him sign something stating that he has been advised on the appropriate coding, refused the advise and accepts full responsibility for these claims?
This situation is making me very uncomfortable. We are considering dropping him as a client.
This situation is making me very uncomfortable. We are considering dropping him as a client.