Hello: I have a couple of questions I hope someone will help me with.![Stick out tongue :p :p](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
I do know this answer but I think I just want reassurance
.
The doctor does a in pt consut, it is a complete HPI and ROS and the Medical Decision making is complex, pt does need a AVR & CABG. Then physicial exam Detailed; 12 bullets for 1997 or 6 organ systems for 1995, this would be a 99221!?
Under his recommendation he states; had a long discussion with pt will schedule surgery etc etc; He does not document the time he spent.
He always codes the 99223 or leve 5 consult..I have explained what needs to be dicated in the report explained elements etc but he never seems to dictate a comprehensive physical exam..so I have to change it to 99221, right! I just hate doing that.
He tells me my patients have high morbitiy and complex most often. I know he does spend alot of time with them but he never documents time spent. He does Cardiac & Vascular surgery cases and I know he puts alot of work in what he does but he just does not document.
I told him he deserves to recieve the compensation for the work he does but it has to meet the Medicare guidelines, but he does not understand or just does not feel it is that important...I have given him handouts etc but......
Any suggestions![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Also does anyone have an 1997 audit template they would be willing to share with me? I have a good 1995 but I can not find a good copy of 1997 just would like a better copy.
Any ideas would be greatly appreciated. I did recommend an outside auditor but have not heard anyting yet.
Thanks in Advance!!
I do know this answer but I think I just want reassurance
The doctor does a in pt consut, it is a complete HPI and ROS and the Medical Decision making is complex, pt does need a AVR & CABG. Then physicial exam Detailed; 12 bullets for 1997 or 6 organ systems for 1995, this would be a 99221!?
Under his recommendation he states; had a long discussion with pt will schedule surgery etc etc; He does not document the time he spent.
He always codes the 99223 or leve 5 consult..I have explained what needs to be dicated in the report explained elements etc but he never seems to dictate a comprehensive physical exam..so I have to change it to 99221, right! I just hate doing that.
He tells me my patients have high morbitiy and complex most often. I know he does spend alot of time with them but he never documents time spent. He does Cardiac & Vascular surgery cases and I know he puts alot of work in what he does but he just does not document.
I told him he deserves to recieve the compensation for the work he does but it has to meet the Medicare guidelines, but he does not understand or just does not feel it is that important...I have given him handouts etc but......
Any suggestions
Also does anyone have an 1997 audit template they would be willing to share with me? I have a good 1995 but I can not find a good copy of 1997 just would like a better copy.
Any ideas would be greatly appreciated. I did recommend an outside auditor but have not heard anyting yet.
Thanks in Advance!!