u/Important-Flower4121

E&M coding distribution report

Received a letter stating my coding distribution is an outlier compared to the average billing distribution. Their expected billing distribution for 99214 is 51% and I'm 70%.

What do most people do with these? Cintas? I'm confident in my coding and to withstand an audit but that being said I don't want to go through that headache either.

*edit:

I thought it about more and I think this is skewed. I am generally more relaxed and patients with chronic conditions that are stable I only have them follow up once a year in their AWV vs. having them schedule a 6month follow up, that is effectively the same thing billing-wise. I could technically have them follow up q4 or q3 monthly and do 99213 visits or try to be more efficient and clump it into q12 or q6 visits. Another reason to think about going into DPC or concierge..

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u/Important-Flower4121 — 5 days ago