skraft1969
Networker
During both the legal panel and e/m panel there were questions about definitions of prescription drug management. One example is a patient coming in for a cough and given an antibiotic. The billed service is a 99214 but the panel all said in no world would that be a 99214. This is concerning because per Medicare they describe a new medication as moderate risk. If the provider documents a detailed history an problem focused exam, and moderate MDM this should be a 99214.
https://med.noridianmedicare.com/web/jeb/education/event-materials/em-qa
Q11. What does "prescription drug management" consist of? For example, if a provider prescribes Motrin 800mg or a course of antibiotics, would this be considered "Prescription drug management" within the MDM?
A11. Prescription drug management is for managing the drug regimen. This is not just a listing the patient's medications. It is for new drugs prescribed, evaluation and raise or lower drug dosages, etc.
https://med.noridianmedicare.com/web/jeb/education/event-materials/em-qa
Q11. What does "prescription drug management" consist of? For example, if a provider prescribes Motrin 800mg or a course of antibiotics, would this be considered "Prescription drug management" within the MDM?
A11. Prescription drug management is for managing the drug regimen. This is not just a listing the patient's medications. It is for new drugs prescribed, evaluation and raise or lower drug dosages, etc.
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