Anyone know anything about medical coding and billing?
12 years ago
Anyone know anything about medical coding and billing? Esp at Winter Park Hosp? The doctor is trying to bill me for level 4 evaluation, on a scale of 1-5 5 is highest threat to my life. I was checked in with like a stage 2-3 hypertension as a walk in, they made me sit around almost an hour before they administered any medication and even the hospital only billed me at a stage 3 which still seems high, The doctors office says they bill based on what hospital coded, hospital says the evaluation level comes form the doctor....and I cant find a hard definition of the levels online anywhere. It's also crappy that the hospital wrote it off for me as a charity, but the doctor will not match from this hospital
I found this http://emuniversity.com/Level4HospitalConsult.html
http://emuniversity.com/Level4HospitalConsult.html
I should have been a level 2, level 3 at best, and their rates are significantly higher then they should be
I found this http://emuniversity.com/Level4HospitalConsult.html
http://emuniversity.com/Level4HospitalConsult.html
I should have been a level 2, level 3 at best, and their rates are significantly higher then they should be
theres a big difference between a hospital consult level 5, and a office visit level 5 especially if youre already a patient of theirs within the last 3 years. It is also absolutely not appropriate to bill "based off what the hospital coded".
either way, definitely need more information.
99214 (established patient, office visit) is not uncommon when meds are prescribed