sankoe@keystoneruralhealth.com
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I have a question. Our provider wants to bill an office visit 99212 when administering VFC vaccines such as the flu shot. We brought up the issue of medical necessity and also that a 99212 is a problem focused e/m and the patients only coming in for the vaccine with no problem. He just wants paid the encounter rate, but yet doesn't want to have to see the patient either. I do not believe this is allowed red flag for fraud and abuse. Can some clarify. I feel it's not allowed. If he wants the encounter rate so bad then he needs to see the patient and counsel them on the vaccine and document what he counseled and do a physical exam on the patient.