We bill for a maternal fetal management group, and are having some difficulty getting paid by Aetna. I have a patient who is 24 weeks pregant with twins. Note indicates patient sent to MFM due to twin pregnancy, chronic hypertension, and to monitor fetal growth. The doctor billed a 76816, 93325, and 93976. I do not see any indication of the echo or the arterial flow study on the note. So I have two questions.
1. Should I see specific indications that these two procedures were performed?

2. What indicators should I look for in the note?