A pt comes in for a preventative visit and there is an area for New Problems & the doc has entered "NONE" but bills for a sick visit as well. All we can figure at this monent is he is RENEWING scripts for their chr conditions...not ordering new meds just renewing...does this constitute a sick chg and the E/M being applied is 99214/99213. We can not see any other reason for them doing this. Some input would be appreciated..thx