I am very concerned: my physician just opened a new practice after being employed by a hospital for many years. All visits were billed out as new patient visits b/c we interpretted the Medicare rule to be different group......Long story short - these visits have been denied and need to be rebilled as established visits (E/Ms). I have been instructed to crosswalk all new patient codes to the established code and this concerns me greatly because the documentation isn't being consulted at all to make this decision.
99201 = 99211, 99201 = 99212, 99203 = 99213, 99204 = 99214, & 99205 = 99215
I have expressed my concern that this is not correct coding and could open the practice up to some serious issues, but my employer is telling me that this is how i'm expected to do my job and if i don't like it-take a hike.
I'm scared of not having a job, yet also scared of the slammer.
Anyone have suggestions?
99201 = 99211, 99201 = 99212, 99203 = 99213, 99204 = 99214, & 99205 = 99215
I have expressed my concern that this is not correct coding and could open the practice up to some serious issues, but my employer is telling me that this is how i'm expected to do my job and if i don't like it-take a hike.
I'm scared of not having a job, yet also scared of the slammer.
Anyone have suggestions?