AAPC - Back to school
Results 1 to 3 of 3

Thread: exam question

  1. #1

    Default exam question

    AAPC: Back to School
    For the exam how would you answer this question:

    If the coder/auditor dosesn't have enough information to code a service, should she/he :

    Ask the physician for clarity

    go back to the documentation

    go with what is there and code to a low level

    Thanks, any information you can give me regarding this would be great !!

  2. #2
    Join Date
    Apr 2007


    I think it depends on the documentation and the kind of visit. We have a physician who goes to Inpatient Rehab facility and does a hand written initial consultation note. From that note, it does not meet the criteria to bill 99221 so we bill 99499 when billing Medicare, which they process. I think you would want to talk to the physician or compare to a superbill which would have the level he believes it is to make sure he is aware of the requirements for the certain E/M service he is providing.

  3. #3


    thanks so much I thought this was the answer but just wanted to check !!

Similar Threads

  1. Exam Question.. Please Help
    By Beara in forum E/M
    Replies: 2
    Last Post: 10-26-2012, 05:28 AM
  2. Annual exam vs Physical exam question
    By NIEVESM in forum Family Practice
    Replies: 11
    Last Post: 09-01-2010, 06:59 PM
  3. ROS Question and Exam Bullet Question
    By Stefanie in forum Auditing General Discussion
    Replies: 1
    Last Post: 05-21-2010, 04:04 PM
  4. well exam question
    By cmac in forum Family Practice
    Replies: 2
    Last Post: 03-11-2009, 04:48 PM
  5. Replies: 5
    Last Post: 10-13-2008, 07:55 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.