tci Part B Insider - 2007 Issue 38

READER QUESTION: Your Physician Can Report 99211

But watch your documentation carefullyQuestion: Our physician billed 99211 a few times last year, and we just got a letter from our carrier saying they want to see the notes from that visit. I am surprised because this is such a low-level code for the insurer to audit, but our office manager says the reason for the audit is because physicians aren't allowed to bill 99211. Is this accurate? Answer: No. The 99211 descriptor specifies that the visit -may not require the presence of a physician,- but that doesn't mean it's restricted to nonphysician practitioners. If the physician...

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