[QUOTE=golfing eagles;2455792]
Quote:
Originally Posted by Aces4
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.
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No one ever accused you of that coding deceit. This isn't about you, this is about some physicians practicing who do fudge the coding. And I'll say it again, if Drs. have no imput on the coding at TVH, that's a big problem right there, IMHO. I'm sure you know that when a patient of a Dr. for many years, comes in for a simple medical followup for medication under 10 minutes, something is awry when the 99215 CPT is used.