kfrycpc
Guest
This question is two fold and I need fresh opinions:
We have a long standing issue in our office. When a physician bills a preventive visit for a Medicare pt, it has to be either an IPPE or AWV.
1. When the Dr bills a regular preventive and bills a 99396....we cannot convert the code to an AWV code correct? Because there are elements of an AWV that aren't covered in a regular preventive correct?
And 2: if the latter is the case....the visit cannot be converted to a sick visit correct? We have been trying to explain all this but it's hard to find documentation on such. The problem begins with the scheduler scheduling a regular well visit and associated template and then the physician just follows it. Fixing the scheduling problem is what needs to be done...its at the crux of the issue.
TIA.![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
We have a long standing issue in our office. When a physician bills a preventive visit for a Medicare pt, it has to be either an IPPE or AWV.
1. When the Dr bills a regular preventive and bills a 99396....we cannot convert the code to an AWV code correct? Because there are elements of an AWV that aren't covered in a regular preventive correct?
And 2: if the latter is the case....the visit cannot be converted to a sick visit correct? We have been trying to explain all this but it's hard to find documentation on such. The problem begins with the scheduler scheduling a regular well visit and associated template and then the physician just follows it. Fixing the scheduling problem is what needs to be done...its at the crux of the issue.
TIA.