samyjm13
Guru
I have an ortho provider that continues to put an E/M levels of 99215, and to get that level he documents that he spent 40 min. w/ patient in couciling and coordination of care..ect. His E/M level is probably only a 99213/maybe a 14 but not a 15. I have coded him down before because of the high levels, that is when he started putting the time down to get the level he wants. I also don't feel that the documentation is there for that high of level. He is very argumentative on the level and he will need proof that he doesn't have the documentation. I have researched and I can not find where I can code down if I don't feel that there is enough documentation to support the level, and when I query him, he is not going to budge.
I am fairly new at all this time spent coding and feel there are some gray areas. I really need some help on this.
Thank you
I am fairly new at all this time spent coding and feel there are some gray areas. I really need some help on this.
Thank you