Lisa Bledsoe
True Blue
I am so frustrated. I just came back from going over an E/M documentation audit with one of my FP's. Her audit was great...but then she told me that she doesn't code any of her Medicare patients at preventive, all as 99215. Why? Because she is addressing multiple issues for them on a yearly basis. We went in circles, she still doesn't understand how Medicare can tell her a visit like this is not problem oriented, when she lists each out. They are for the most part stable and no changes, just rx refills and blood work (which is the patients normal state of health). Occasionally one might be uncontrolled HTN or DM, which I tried to explain that she could carve out of 99397 (as well as G and Q codes). I can't get through to her. Does anyone have any suggestions? BTW - another physician told her to code this way!!