jkottarathil
Contributor
Hello all,
I have a question in regards to prescription drug management for MDM purposes that myself and other coders in our department have been questioning back and forth for a few months. We work exclusively in the domiciliary and home setting
(95/97 guidelines). The patients our providers provide "in-home" care for are in assisted living facilities and independent living facilities.
We constantly see it where the providers are writing prescriptions for OTC medications (for multiple reasons--a higher dosage of ibuprofen/Tylenol that you cannot get OTC, another example would be prescribing melatonin and getting it from the pharmacy rather than OTC). Our patient population typically does not leave their home setting. Their medications are managed by the primary care provider and ALF nursing staff (nursing coordinates with pharmacy). Here's an example, the patient is confined to their home. Our medical provider wrote this order: Refill: Tab-a-Vite 1 tab per G tube once daily. 30 days, Refills: 11, Qty: 30. Nursing staff sent the order to the patient's pharmacy.
Our question is even though they are OTC drugs, since we are prescribing them and it is coming from the pharmacy are we able to count this as prescription drug management for MDM purposes? Or would we have to drop it down to low risk for OTC drug management?
I have a question in regards to prescription drug management for MDM purposes that myself and other coders in our department have been questioning back and forth for a few months. We work exclusively in the domiciliary and home setting
(95/97 guidelines). The patients our providers provide "in-home" care for are in assisted living facilities and independent living facilities.
We constantly see it where the providers are writing prescriptions for OTC medications (for multiple reasons--a higher dosage of ibuprofen/Tylenol that you cannot get OTC, another example would be prescribing melatonin and getting it from the pharmacy rather than OTC). Our patient population typically does not leave their home setting. Their medications are managed by the primary care provider and ALF nursing staff (nursing coordinates with pharmacy). Here's an example, the patient is confined to their home. Our medical provider wrote this order: Refill: Tab-a-Vite 1 tab per G tube once daily. 30 days, Refills: 11, Qty: 30. Nursing staff sent the order to the patient's pharmacy.
Our question is even though they are OTC drugs, since we are prescribing them and it is coming from the pharmacy are we able to count this as prescription drug management for MDM purposes? Or would we have to drop it down to low risk for OTC drug management?