Prescription Drug Management

[KaylaRieken]

Is telling patients to continue meds prescription drug management? (no refills were given)

 

[Cheezum51]

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]

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]

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]

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?

 

[smihm]

Can you tell me where you found this on Medicare?

https://medicare.fcso.com - go under Evaluation and Management - E/M FaQ's- Service Components- its a listed as a question