Sometimes in these forums, or in e-mails, it can be hard to separate hyperbole from "real world", humor from anger and the like. I don't discount the medical necessity angle - I have just found in my chart reviews I have more troubles with colds, pharyngitis, epitaxis, etc being assigned 99214 because of overdocumentation in the History and Exam instead of these resulting in 99215. And, IMO, this many 99214s is more problematic than assigning a 99215 to one visit for any one of these problems, because the former happens MUCH more frequently.
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