I have a physician that spent over an hour in the exam room with a patient yesterday and well over 30 minutes on the phone with this same patient today. We filed the OV as a Level 5, but is there any way for him to get reimbursed for the extended time spent with the patient? i.e. modifier, extended services code, etc. By the way, this is a Medicare patient. I know we can't bill the telephone E/M since she is Medicare.