I just got the online exam this week. Case 28 I answered that is was a 99214, when I hit grade it tells me I am wrong. I read the rationale.
HISTORY LEVEL IS DETAIL
EXAMINATION LEVEL IS DETAILED
MEDICAL DECISION MAKING LEVEL IS LOW
Source: The E&M Documentation Guidelines can be referenced at: http://www.cms.hhs.gov/MLNEDWebGuide/25_EMDOC.asp
That was their rationale.
On the bottom of every note it states
The AAPC does not ask a coder to make any final determination based on medical necessity. Decisions about what constitutes a medically necessary service should be made only by a practicing physician peer. Please code this service based solely on the elements of History, Exam and Medical Decision Making using the same rules and logics that are defined by the “Marshfield Clinic” audit tool, and CPT coding guidelines
Ok, what am I missing?
Thanks,
Laura, CPC
HISTORY LEVEL IS DETAIL
EXAMINATION LEVEL IS DETAILED
MEDICAL DECISION MAKING LEVEL IS LOW
Source: The E&M Documentation Guidelines can be referenced at: http://www.cms.hhs.gov/MLNEDWebGuide/25_EMDOC.asp
That was their rationale.
On the bottom of every note it states
The AAPC does not ask a coder to make any final determination based on medical necessity. Decisions about what constitutes a medically necessary service should be made only by a practicing physician peer. Please code this service based solely on the elements of History, Exam and Medical Decision Making using the same rules and logics that are defined by the “Marshfield Clinic” audit tool, and CPT coding guidelines
Ok, what am I missing?
Thanks,
Laura, CPC