tci Part B Insider - 2007 Issue 25

PART B MYTHBUSTER: Don't Let Your Doctors Shortchange Themselves For 'Routine' Visits

1 tell-tale sign that a follow-up visit may be a level fourMyth: If an established patient comes back for a -routine- visit, you should automatically code that as a level-three evaluation and management visit. Reality: You should always code based on what your physician actually documented and performed. There's no rule that says a routine follow-up must be a level three, notes Peter Jensen, a physician and founder of EMUniversity.com. Many physicians and coders wrongly believe that a -routine- visit should always fall smack dab in the middle of the bell curve, Jensen complains. -Most doctors don't give...

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