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Exam component

  1. #1
    Red face Exam component
    Exam Training Packages
    I have a physician that stated in the patients chart that the Physical Exam was Deferred. Does anybody know how to count this?

    Please help???
    Kristen, CPC
    Kristen Richard, CPC

  2. #2
    Location
    Phoenix, AZ
    Posts
    620
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    Why was it deferred? If the patient was not present, the visit is not billable.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Default
    I don't know why he dictacted that the exam was deferred. Theres no explanation. But I do know that the patient was present. Doc spent 50 minutes with the patient, all of which was in consultation reveiwing the patients history and diagnosis.
    Kristen Richard, CPC

  4. #4
    Default
    You get no credit in exam for "deferred" that means it wasn't done.

    It sounds like this should be billed on time if documented properly, which makes the key components a non-issue.

    If the provider documented total time and amount spent counseling/coordinating care (which must be greater than 50%) you just level based on time.

    They do not have to say "greater than 50%", they can though. If he documented "I spent 50min with patient discussing (fill in the blank)" then I would use the level that 50 min falls in. Because he spent 100% of the 50 minutes it qualifies.

    Laura, CPC, CEMC

  5. #5
    Default
    Thank you Laura,
    Kristen Richard, CPC

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