Abuses, honest mistakes in billing for physician visits, account for estimated national losses in billions each year. How can this be true when the vast majorities of physicians are committed to billing accurately and are legitimately surprised when mistakes are uncovered? Evaluation and Management codes are subjective in nature. From the aspect of medical necessity, the correct level of service is determined simply by how sick a patient is. Further, the rules that govern documentation requirements are also in many ways subjective. Coders need clarification to overcome these areas of grey!
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