Please help! FP Doc questions coding

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Hi, I have always coded for specialty practices. We recently took on a family practice office and the physician is very involved with how she codes her superbills. However, recently our hospital hired a consultant to audit her charts. They found that she has overcoded her 99204 and 99214 office visits.
She does provide a great deal of documentation, but lacks in her ROS and she personally feels that if she is following guidelines. She utilizes a worksheet that is uses points for her documenation.
And she feels that even if the patient comes in with a 1 exacerbated problem and 4 chronic problems; she can charge at a higher E/M code. I have been a CPC for 4 years and she wants me to audit her charges. I have never audited and am not sure what I should be reviewing. I know that we use the bullets to make sure the criteria has been met. She wants me to be more explicit than that and I can't answer her. Any information would be helpful to me, I have not felt so incompetent until this physician starting questioning and wanting me to show her exactly where in the book it states it.:eek:
 

Rhonda Buckholtz CPC

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Local Chapter Officer
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Why not purchase the E/M auditors study guide? Even if you are not going to take the exam the book is a great reference source. Also, Medicare puts out a great E/M training book on the Medlearn site free of charge.
 
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GO TO THE SEMINAR ON MAY 15 2008 WHERE BONNIE BROWN WILL BE TEACHING E/M AND CHART AUDITING.

SHE IS THE MAN!! SHE CAN ANSWER YOUR EVERY QUESTION, SHE IS ALSO AN RN..SO THAT IS A BONUS.

ANOTHER BONUS IS THAT THE SEMINAR IS ON A CRUISE SHIP TO MEXICO!

GO TO www.educationalretreats.com TO CHECK IT OUT!
Katie, thank you for the information, I will check out the seminar. Thanks!
 
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Hi:

I Need Help With Coding Workers Comp Cases. We Provide Pt Services Mainly. I Have No Experience Coding For Workers Comp And I Need As Much Info As You Can Give. Please Help.

Thank You For Your Time And Consideration.

Terri
 
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