mgutirob
Contributor
I have a very serious question and I am hoping that I can get a great answer. I reviewed a providers documentation and his notes supported a level 99203 for a new patient. I was instructed to down-code the service to a level 99202 because Medicaid will not reimburse for a 99203. I took this to my superior and informed her the issue and she told me that I needed to down-code the service so that the claim would get paid. I told her that I code based on what the documentation supports and not just so the provider will get paid. I consider this fraud and I need to know how other coder's would view this. Any input would be most helpful
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