Billing for Report of Findings Visits
Have you been wondering how to bill for Report of Findings visits? Since there is no official "Report of Findings" billing code here is more information on how you can still get paid for those services.
Use Counseling Time Override for Report of Findings Visits
Counseling/Coordination of Care is a discussion with the patient and/or family concerning one or more of the following areas:
Diagnostic results, impressions, and/or recommended diagnostic studies
Prognosis
Risks and benefits of management (treatment) options
Instructions for treatment and/or follow up
Importance of compliance with chosen treatment options
Risk factor reduction
Patient and family education
Remember these important steps:
Counseling/Coordination of Care and its associated time must be identified and documented.
In Document Plus, generate the Patient Report of Findings and use it as a guideline for your counseling/ coordination of care session.
On the report, document the beginning and end times along with the doctor's signature.
Use the Document Plus Image Center to scan the signed report back into the patient file.
Bill the appropriate established patient E&M code (with a modifier -25 if treatment was also performed that day).
If you have any questions about these procedures please feel free to give us a call.