Medicare Compliance & Reimbursement

Reader Question:

Know the Coding Rules When the Patient Isn't Present

Question: A patient’s wife presented to talk about her husband’s colonoscopy results and diverticulitis, treatment options, and which medications he should take. How can we bill for this visit? Michigan Subscriber Answer: The answer will depend on which insurer covers the patient. According to CPT® rules, if the patient’s family members present to the practice to discuss the patient’s condition [...]
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