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Wiki Reasonable # of E&M visits

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billingchic#1

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For Pain Management, what would you consider a reasonable amount of E&M visits that would not set up a practice for an audit?
 
billingchic#1 said:
For Pain Management, what would you consider a reasonable amount of E&M visits that would not set up a practice for an audit?
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As long as there is documented medical necessity for every visit, you should be fine if there is an audit. Our Pain Management patients are seen routinely every 3 months. Not sure if this is typical, but from what I understand, they are required by law to be monitored this way due to narcotic/opiate use. I guess anything consistently more often may raise some flags, but as long as there's a reason, it should be fine.

Hope this helps! :)
 
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