Auditing some accounts for my Ortho doc, there are some in which the doc selects only an E/M charge on the superbill. But, upon closer look at the documentation I see notes such as, "The patient is here for followup of the MRI scan of his right shoulder. Review of the scan demonstrates a massive rotator cuff tear. There is thinning of the tendinous structures, retraction to the glenoid and evidence of some atrophy of the muscle." Would this be enough to justify billing a professional component of this MRI?
Bill Hale, CPC
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