ellistneal
Contributor
I need a reference to show to my provider my point but first I need help with the following scenario:
My provider performed wound care to a patient using code 15271 which is paid less than an office. The provider now wants to use an office visit charge instead of the procedure to get paid at a higher rate. There are no other conditions/diseases addressed at this visit. From my understanding this is considered fraudulent and up-coding. Please inform me if I am right or wrong.
Also, please provide a reference to back me up. Thanks
My provider performed wound care to a patient using code 15271 which is paid less than an office. The provider now wants to use an office visit charge instead of the procedure to get paid at a higher rate. There are no other conditions/diseases addressed at this visit. From my understanding this is considered fraudulent and up-coding. Please inform me if I am right or wrong.
Also, please provide a reference to back me up. Thanks