1. Wow - normally people want to bill higher, not lower, than they should. I would question why the physician wants to short change himself. And, yes, those rules are absolute. It would be considered a coding error in an audit.
2. That's an interesting proposal but I don't think it would work for all scenarios.
3. Accutane, methotrexate, etc could fall under drugs intensive monitoring. Use of these drugs usually requires frequent, ongoing labwork to check for toxicity.
4. I don't know what the Marshfield tool is but he might be able to get a point under data with "discuss results with testing dr" if that is applicable. That's a tough one to get "credit" for.
5. Funny enough, I just read in the Coding Answer book about this very question. Check out page 15316 for the answer. Basically the answer is "yes but".
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