I work for a psychiatrist who also happens to be board certified internal medicine. I consulted with a medical billing company about possibly hiring them to take over the billing for our office. Their first question to me was- "Why are you not billing E/M codes when many of the doctor's progress notes are not of a psychiatric nature, rather they are of a medical nature?" Honestly at the time I was clueless, but with much research, which included a state gov't audit, I have been billing E/M codes mostly according to the amount of time the doctor spends with the patient.
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