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Leveling a Visit for an Acute Uncomplicated Illness

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Manage episode 518896087 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

The September 2025 issue of CPT® Assistant raised important questions about how to appropriately level an evaluation and management (E/M) encounter when the presenting problem is an acute, uncomplicated illness or injury. A growing number of providers have been assigning Level 4 codes simply because an antibiotic was prescribed.

However, this approach may not be accurate when considering the full scope of the encounter and its required documentation elements.

Terry examines this trend and explains why many payers have responded by implementing automatic down-coding policies to address potential overcoding.

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The post Leveling a Visit for an Acute Uncomplicated Illness appeared first on Terry Fletcher Consulting, Inc..

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96 episodes

Artwork
iconShare
 
Manage episode 518896087 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

The September 2025 issue of CPT® Assistant raised important questions about how to appropriately level an evaluation and management (E/M) encounter when the presenting problem is an acute, uncomplicated illness or injury. A growing number of providers have been assigning Level 4 codes simply because an antibiotic was prescribed.

However, this approach may not be accurate when considering the full scope of the encounter and its required documentation elements.

Terry examines this trend and explains why many payers have responded by implementing automatic down-coding policies to address potential overcoding.

Subscribe and Listen

You can subscribe to our podcasts via:

The post Leveling a Visit for an Acute Uncomplicated Illness appeared first on Terry Fletcher Consulting, Inc..

  continue reading

96 episodes

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