• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki OV just to view MRI results

Create Wiki
L

Lyta2000

Networker
Messages
72
Location
Kernersville, NC
Best answers
0
What about the doctor that indicates the OV Is just to review results of MRI? The provider just wants to say History is same as last time. Do no exam and claim a 99214 since he discussed results, refilled meds and said do some PT. It seems that there really should always be a HPI. Something doesn't seem right, thoughts on E and M just to review results?
 
He does not have to have a history review for an established patient, however there does need to be exam and decision making, or if he is going with counseling as the overriding factor the you need a time spent with the patient and a counseling note that must dominate (greater than 50% ) the encounter.
 
To elaborate on what Debra answered, while new patients need history, exam, and MDM, established patients only need any two of the three. But since your provider only captured one of the three, there is no OV unless he met the conditions for time-based billing. These conditions require that at least 50% of the visit be spent in counseling and that the amount of time spent be documented in the note.
 
You must log in or register to reply here.
Top