sla696
Guest
I have a payer who is reimbursing EM based on 1997 guidelines based on the EOB. In addition to stating payment has been made based on the 97 guidelines, a letter is attached stating a review was conducted using CPT/AMA EM Guidelines and 1997 Documentation Guidelines and chastising the provider for using time to select the EM level. Time is not documented nor used to select EM. Any thoughts on how I can fight this using the arguement that use of 95 and/or 97 should be used when reviewing/reimbursing EM services? Any guidance would be greatly appreciated.
Thanks
Steph
President, Casa Grande Chapter
Thanks
Steph
President, Casa Grande Chapter