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Wiki Medicare AWV vs E/M Help

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T

TLC

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Fallbrook, CA
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Hello, My question.
Our compliance department is saying that if a patient has Straight Medicare and their visit does not meet for a AWV we should send to billing as a Non-Billable service? In the past if it didn't meet for some reason and there were "billable" diagnosis' we would change the visit to a E/M code. I can't find anything
stating this from Medicare. I know if it is a Medicare Advantage plan you can use a 99397 but not for Medicare. Does anybody have any information on this?
Thank you,
Terry
 
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