Prescription Drug Management

Cheezum51

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I would say it is. CPT has said the decision to not change medications or deciding not to proceed with a surgery or other procedure is still considered a management decision for the patient care.

Just because a patient didn't need a refill at the time of the exam, doesn't mean they won't need one next month.

Tom Cheezum, OD, CPC, COPC
 

KaylaRieken

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Is this written in the CPT book somewhere? What happens if the patient is seen every 3 months or 6 months? that is ok to say this is prescription drug management if that would give them 99214s everytime?
 

smihm

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Is this written in the CPT book somewhere? What happens if the patient is seen every 3 months or 6 months? that is ok to say this is prescription drug management if that would give them 99214s everytime?
From Medicare

What constitutes prescription drug management?​

Q. During an evaluation and management visit, what constitutes “prescription drug management?”
A. “Prescription drug management” is based on documented evidence that the provider has evaluated medications as part of a service, in relation to the patient. This may be a prescription being written or discontinued, or a decision to maintain a current medication/dosage.
Note: Simply listing current medications is not considered “prescription drug management.”
Source: Program Integrity Department
 

houmaob1714

Contributor
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From Medicare

What constitutes prescription drug management?​

Q. During an evaluation and management visit, what constitutes “prescription drug management?”
A. “Prescription drug management” is based on documented evidence that the provider has evaluated medications as part of a service, in relation to the patient. This may be a prescription being written or discontinued, or a decision to maintain a current medication/dosage.
Note: Simply listing current medications is not considered “prescription drug management.”
Source: Program Integrity Department
Can you tell me where you found this on Medicare?
 
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