This answer from Medicare Part B Administrative Contractor, First Coast Service Options, may state it best.
"E/M FAQ -- What constitutes prescription drug management?
Q. During an evaluation and management visit, what constitutes "prescription drug management?"
A. "Prescription drug management" is based on documented evidence that the provider has evaluated the patient's medications as part of a service. This may be a prescription being written or discontinued, or a decision to maintain a current medication or dosage."
To say a bit more from an auditing perspective, there should be documentation supporting that the physician made a decision to continue the medication at the same dosage vs. reviewed a list of the patient's medications without evaluating the patient's current condition and making a decision on the appropriate management. Often this is found in the assessment and plan such as: diabetes type 2, improved A1c, continue Metformin as prescribed, refill ordered.
Cindy
Sorry this came out in all bold font. Not sure why.