Quote:
Originally Posted by Eg_cruz
She is reporting the doctor today to the insurance company and Medicare
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Excellent. In 40 years of practice, I never encountered anything so egregious, much less imagine it. You should check the Medicare EOB for the CPT visit code they billed. If it something other than a telemedicine visit, they are "screwed". In particular, look for new patient code 99202-99205, which have certain physical examination criteria, which are impossible to meet if the "physician" isn't in the room. At the very least this should trigger a Medicare audit in which they will look at 25 to 100 patient visits and documentation to see if it meets coding criteria. If blatantly guilty, they can be banned from participating in Medicare for 2 years. I am appalled at this scenario and embarrassed for my profession.