I have a provider who puts sometimes 10 or more diagnoses in her assessment and always wants to bill a 99214 or 99215. In the chief complaint the patient was there for a med refill for HTN or DMII and she will re-diagnose things from a list of chronic problems but not mention them in her HPI or do a physical exam. How should I approach this? I’ve been told I’m being too picky or demanding. What can I do to remedy this problem?
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