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Hello, this is Dr. Lakowsky with Reimbursement Rx again, and I just want to go over a question we received, lots of questions recently about this new Medicare proposal to level off levels of service and pay doctors one rate. As we mentioned, that it wasnt really good for physicians and weve been asked why. For those of you who are just coming out of training, you may not be familiar with how things work. Heres a very brief, quick and dirty rundown. In the office setting, you are probably going to use four levels of service. From 99212 to 99215 and those are the established patients. Theres also codes for new patients, but were just going to focus on established patients right now. Theres 99211, which is a nurses visit, which doctors dont use and levels from 2, 3, 4, to 5. The higher you go, the more complex the patient is. Sometimes theres a time attached to it, but you dont have to use the time, you need to use certain components of E and M codes, and E and M components, docu