Orthocoderpgu
True Blue
An auditor recently came to our clinic stating that due to a Medicare Bullitin which states that MDM should be the "Over-Arching Factor" in deciding an E/M level, she basically wants us to set aside History and Exam. If I were to code this way, some of my visits would be "Up-coded" and some "down-coded". I respect this auditor and her experience, but can see problems coding this way. Have any of you had a similar experience and what did you do?