Ask Dr. Z

The clinic we do billing for hired a device company that monitors PPM and ICD devices. We are having concerns because the physician signs the notes late and we are trying to be compliant. The device company is telling us that even though the physician signs the notes late we are still able to bill it on the date the service was completed. For example, CPT codes 93297, G2066, and 93295 were all completed on 10/01/2020 and the doctor then reviews the notes and signs them on 10/12/2020. From my understanding the date the physician reviews the note and signs would be the DOS that we would bill on, can you clarify this? Also, they want us to bill the remote technical G2066/93299. Per, biometric telemonitoring state that "remote device evaluations" (93926 and 93299) require "general supervision" by a physician. Since it's a device company we are not supervising. Therefore, I am not sure whether we could bill the technical. Can you provide any guidance on this matter?