cs72410
Contributor
I have a physician who is charging out a Prevent Med code (99397) for a Medicare patient at the same time as an Office Visit (99214-25). Because of "carve-outs", I understand she is allowed to do this since she is also monitoring a couple of chronic conditions as well. My question has to do with the documentation. I told her she needs SEPARATE documentation for each code; she can't double-dip by using the HPI, ROS, and PE from one for the other. With the carve-out, she'll get a portion of the reimbursement, but since she's technically billing out both in full...documentation needs to be there. Any input on this would be greatly appreciated!!![Eek! :eek: :eek:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)