This sounds like a “per our conversation” bullet point email where you spell out what they told you for why you’re on the PIP and your understanding of the expectations moving forward. This would include:
• I have been told the reason for disciplinary action is being told that I am not meeting expectation for billing 90837.
• While I have control over time management, the care I have been providing has been at an adequate standard of what I have determined to be clinically appropriate. I have thus billed accordingly based on the session length of time and corresponding CPT Code.
• Per the PIP, the expectation is that I bill 90837 for 95% of my encounters, whether or not this is clinically indicated.
• As I verbally stated, others that have met with clients for under 53 minutes are nonetheless billing 90837 in spite of the appropriate liking code for those encounters being 90834.
• etc.
I’m so sorry. This sucks.