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Thread: Dr. Spain and the 5th Amendment

  1. #1

    Default Dr. Spain and the 5th Amendment

    Promo: Code Books
    Hello,

    Did you catch last month's issue of Coding Edge with the article regarding MDM as the driving force of an established patient visit from Dr. Spain? I was curious if anyone else caught that...I wanted to see what my fellow coders thought of the article...

    dscoder74

  2. #2
    Join Date
    Apr 2007
    Posts
    1,716

    Default

    I agree with the article. MDM usually is used to level but I think it is important to recognize that it doesn't always have to be.

    I also agree that padded documentation is a problem.

    Laura, CPC

  3. #3
    Join Date
    Apr 2007
    Posts
    13

    Default

    Medicare and Insurance companies want MDM to be the driver to determine the code level and medical necessity, and they don't always agree with CPT.

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