Need help/advice:
I have a provider who is seeing est. pt's back for f/u in office so 2/3 I know. But he documents no exam on these pt's..only a History & Assessment Plan. Is this ok? I feel it's not best practice but would an insurance auditor or any auditor let this go and only code off the History & MDM?
Thoughts/suggestions any/all appreciated.
I have a provider who is seeing est. pt's back for f/u in office so 2/3 I know. But he documents no exam on these pt's..only a History & Assessment Plan. Is this ok? I feel it's not best practice but would an insurance auditor or any auditor let this go and only code off the History & MDM?
Thoughts/suggestions any/all appreciated.