tci Part B Insider - 2013 Issue 3

Part B Mythbuster: 'I Spent An Hour With the Patient' Won't Hold up Unless It's in the Record

Check out this case study and figure out why it doesn’t qualify for time-based coding. Medical record auditors hear it nearly every day from practitioners: "You can’t downcode my claim! I spent an hour with that patient, so I know I deserve a 99215." But a physician’s memory won’t hold up in court – only documentation will do so. Background: When medical auditors review E/M claims, they typically code the reports based on history, exam, and medical decision-making, unless the physician meets the criteria to code a claim based on time spent with the...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.