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In 2020, the Covid-19 pandemic brought on multiple ICD 10-CM, AMA, and payer coding guideline changes.
With the launch of the new E/M guidelines in January 2021, we now have two different Prolonged Codes to use.
A few years ago, a provider called me for help. He was being audited and the payer had told him that he owed 100K in overpaid claims. We did a review and immediately saw the problem. He did, in fact, owe the money to the insurance company.