cdury
Contributor
I had 2 Dr.'s tell me that I was wrong today...I told them that some of the dictation was not billable because there not an exam documented. ...Basically all that was documented was a history of a chronic problem & review of meds. I explained that when billing subsequent nursing facility visits, the Dr. must perform & document 1)History, 2)Exam & 3)Medical Decision Making. They seem to think that the only have to perform 2 of the 3 components. I am having a hard time explaining that the "2 of 3" means the levels not the actual componenets...Or am I actually wrong?
Second guessing myself big time!!
Second guessing myself big time!!