Wiki Can a physician bill an E/M code to review w/patient a treatment report generated by a 3rd party monitoring platform (chronic disease) ?

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Can a physician bill an E/M code to review w/patient a treatment report generated by a 3rd party monitoring platform (chronic disease) ?
 
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Probably, if the provider is going to be treating the patient for the chronic disease, and the discussion leads up to a decision regarding care, then there is likely medical necessity. Your scenario is vague. So what your saying is that there may have been something like a remote event monitor report for cardiac events such as a-fib, and the cardiologist is reviewing the findings and determining a treatment plan--then of course he/she could bill an E&M, even if he/she didn't place or order the monitoring and may only initiate further care.
 
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Thank you Pam, in this case the patient has a chronic disease and self-treats at home with a physician ordered/guideline based protocol that is administered through a platform and tracked via an app on the patient phone that connects to a secure portal. The physician gets a report periodically from the platform to review patient adherence, satisfaction and photos of disease resolution, etc. The follow-up visit would be a check in to review progress and yes, potentially adjust their treatment regimen.
 
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Pam Brooks said:
Probably, if the provider is going to be treating the patient for the chronic disease, and the discussion leads up to a decision regarding care, then there is likely medical necessity. Your scenario is vague. So what your saying is that there may have been something like a remote event monitor report for cardiac events such as a-fib, and the cardiologist is reviewing the findings and determining a treatment plan--then of course he/she could bill an E&M, even if he/she didn't place or order the monitoring and may only initiate further care.
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Thank you Pam, in this case the patient has a chronic disease and self-treats at home with a physician ordered/guideline based protocol that is administered through a platform and tracked via an app on the patient phone that connects to a secure portal. The physician gets a report periodically from the platform to review patient adherence, satisfaction and photos of disease resolution, etc. The follow-up visit would be a check in to review progress and yes, potentially adjust their treatment regimen.
 
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