I have been asked to find literature or an industry authority that in some way addresses the acceptable level of variance between an auditor's findings and the billed service level.
Although I can come up with many articles that discuss how subjective E/M is, or how payers develop their own interpretations, I'm coming up frustrated without any specific guidance.
Even if it is just a suggestion or allusion, I'll take it. Personally, I believe it is entirely up to who audits the case, the employment atmosphere and the payer or review service. However, it has to be addressed for the project I'm working on.
Any input will be helpful and thanks!
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