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Medical invoice format for Technical Support

99203 will be the lowest level of service that you should use for your new patients, and I'll show you why. And this is the second most common mistake by younger doctors because they are afraid to over-code. If you have all of the documentation there, you will not over-code at all. Now 03, so this is something that of little bit more importance. This is 1.42 work RVUs and it pays much better than the Level 01. Remember, Level 01, how much is Level 01? $44. From $44 to over $100. You're more than doubling your reimbursement by doing anything and everything you're doing anyway. And you'll see why, because very rarely will you do only limited service, as we just talked about. Again, documentation, you need three out of the three. Or if you're coding on time, it's 30 minutes. Now, this does get a little bit more complex. How so? Well, HPI, you now need four components. You can't just say, "Ear hurts." Ear hurts, head hurts, abdomen hurts, everything hurts. All your patients have something hurting. I mean, they all have problems, they're all going to tell you this. So, this is very easy to qualify for. Review of Systems, 2 to 9 Remember I said, the last time it was revised, was in 1995. We did due diligence, we reached out to Medicare and we said, "Listen, is it two or is it nine? How many do you want?" And the answer we got was, "2 to 9." Well, if we only do two review systems and we're still eligible to code 99203? And Medicare said, "2 to 9." So I don't know what that means. My suggestion is just use 9 review systems here and you'll be fine. It's very easy to review, 9 review systems. Your medical system probably does it anyway by the time you even get in the room. So it's very easy. Still, and it kind of doesn't make any sense. You only need the one. You only need the one past history here, only one social history, right. So all you have to do is ask anybody, "Do you have any past medical problems?", and you're done. We all go above and beyond this anyway, but this is the requirements. The exam becomes detailed. Now we need 11 bullets plus vitals, but remember, how many did we start with? 6. So all we need to do is just listen to the lungs, look in the ears, abdomen, and we're done. Medical decision making is no longer straightforward, it's low complexity. You need 1 diagnosis, which we'll have. And you need only one point from Data. Remember this, order labs, or look at old labs, or review old records. That gives you points, and low complexity risk. What's low risk? Any one of the following. Remember I said Over-The-Counter drugs? Yeah, so that's already a low risk. So that's why, if somebody is taking Over-The-Counter drugs, it's automatically at least Level 03. If you recommend any of the following. 2 or more small problems, chronic illness, sore throat, it's low risk. If you order physical therapy, occupational therapy, if you freeze AKs in your office with liquid nitrogen, that is low risk to begin with. And here's the same patient, she's a little older now, and for an earache. And this is probably, this is at least, starting to look like your patient that you do see, actually. And something that you actually do to your patients as far as the work-up is concerned, as far as the wording is concerned. So you talk about what she has, you review past medications, you look at past history, you do review of systems. This is probably done automatically by your staff, where it's very easy for you to ask the patient this, it doesn't take much time. An exam is a little bit more involved, and we'll just comment on the condition of the ears. It is the same, Otitis Media. It's the same, Amoxicillin. For some reason I asked her to take Tylenol, not Motrin, and we're gonna avoid Sudafed because she's on a hypertensive regimen. So the bottom line here is that this is probably what you always do to your patients, so at least start off here. You will have more than enough documentation. It's very easy to qualify.