tci E/M Coding Alert - 2023 Issue Q4

Reader Question: See Red Flags on This Patient Visit Proposition

Question: I have a provider who would like to see new patients over the course of three separate days: Day 1, video visit: They would meet with the patient by video and obtain the patient’s history. Day 2, in-person visit: They would perform a physical exam. Day 3, video visit: Discuss the assessment and plan. Would we need to drop charges for each of those visits if they were on separate days? New Jersey Subscriber Answer: Technically, you would — but you have a problem. First, day 2’s visit does not meet the requirements of a billable...

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