A PMHNP works in an outpatient practice where the billing department routinely instructs providers to bill all medication management visits as 99214 (moderate complexity) regardless of the actual clinical complexity of the encounter. The PMHNP sees a stable patient on a single medication with no changes, no safety concerns, and a straightforward 10-minute follow-up. The billing department insists this visit should be coded as 99214 to maximize revenue. The PMHNP considers her professional and legal obligations regarding billing practices.