It sounds like they were telling you that you need to improve your Levels coding to pass. So you probably did OK on procedures and ICD-9. As I recall they use the 1995 guidelines so I would focus on that. I think people often get thrown by MDM since it is the same for 99283 and 4. I would look at the Presenting problem in establishing the medical necessity for the level and make sure they are hitting the history and PE elements.
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