[QUOTE=Aces4;2455786]
Quote:
Originally Posted by golfing eagles
Just because a there is a lack of understanding on somebody's part doesn't make it "mumbo jumbo". On the other hand, 20 posts lacking a factual knowledge basis could be, and is, considered ridiculous nonsense. I'm still at a loss here----if somebody has an electrical problem in their home and hire a master electrician, do they try to debate with the expert?? And what would call somebody who actually does--in fact there are a number of names that apply.
Factual information does seem to be missing with the claim that being charged for a long office on Medicare billing doesn't exist and well as the CPT code for longer visits is printed, on record but someone can't grasp the truth. If coders at TVH are making all the billing decisions and the Drs have no imput as to what is being charged, that's a huge problem right there. And then there is the premise that Medicare shouldn't let the insureds know about CPT coding because it cause terrible confusion, like if you don't have MD behind your name you can't tell when your billing has been overcharged when a simple, no clothes removed 7-8 minute visit with no tests should be billed at the highest code for a long, complicated visit. Baloney.
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And yet it continues. Do I have to post the criteria for 99215 for a third time? Ask it to be pointed out where the term "long visit" is located in the definition. Ask where "40-59 minutes" is located. Now, if somewhere on an EOB CMS tries to idiot proof the understanding of the charges are, fine, I've never looked at mine, because I DON"T HAVE TO, I already know everything there is to know about it. But yet some people are stuck on "7-8 minute" visit. AGAIN, TIME HAS NOTHING TO DO WITH IT.
Now , if you ask me the CORRECT question: Is it ethical to spend 7-8 minutes and bill 99215, even if it meets documentation criteria? Then I would agree with you, I don't thin k it is and I've never done that. But that's not the question at hand. The question has been "what are the requirements to bill 99214 or 99215" and the answer remains that it has everything to do with extent of history and physical and complexity of medical management, and nothing to do with time unless it is something like a psychiatric visit or a family conference.