Tonyj
True Blue
I had a patient scheduled for an AWV which was performed and billed. Medicare denied the charge stating it was too soon as the patient had had an AWV at another facility. The patient states she only scheduled an appointment for a Rx refill but a complete exam was performed.
Question; Can this claim be converted to an E/M visit?
I understand there are other mitigating factors that play a part in billing for an E/M but I just want an opinion from other fellow coders.
The physician's CC is of some concern to me stated as, "79 y/o female presents for medicare preventive care, hypertension, hyperlipidemia and hypothyroidism."
HPI has the status for the chronic conditions listed as well as the medicare preventive service.
Complete ROS; Complete PFSH; Complete Exam; MDM High
Can this claim be converted from a preventive to an E & M?
Question; Can this claim be converted to an E/M visit?
I understand there are other mitigating factors that play a part in billing for an E/M but I just want an opinion from other fellow coders.
The physician's CC is of some concern to me stated as, "79 y/o female presents for medicare preventive care, hypertension, hyperlipidemia and hypothyroidism."
HPI has the status for the chronic conditions listed as well as the medicare preventive service.
Complete ROS; Complete PFSH; Complete Exam; MDM High
Can this claim be converted from a preventive to an E & M?