Wiki Dialysis billing VS Office Visits

ragivens

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I am having some issues with Medicare denials for ESRD annual history and physicals. My office bills monthly for the physician dialysis services, however the H&P's are denying against the dialysis claim.
Since Medicare requires annual h&p's for ESRD patients, is there a certain way I should be billing the office visit? I'm am lost and would appreciate any advice!!

**my Medicare denial for the office visit is "not covered when performed during the same session/date as a previously processed service for this patient**
 
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