The answer is YOU don't. The physicians perform the services they deem medically necessary to treat the presenting problem, and document what they do; YOU translate that documentation into a code.
It is what it is.
That being said, their concern about this, however, makes me wonder if you are using an EMR/EHR that automatically populates the visit documentation with that detailed history from a previous visit, and prompts the physician to document a detailed exam. If so, your physicians are right to be concerned.
What you need is a protocol in your office regarding when it is appropriate for the physician to override the audit tool to lower the level of service to what the physician deems appropriate for the presenting problem.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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