ljhollis
Guest
I am a site billing and coding specialist for a family practice. We are having issues with the sports physical VS the yearly physical. When the patient comes in for a "sports physical" the provider is basically doing a yearly physical. This is where the problem starts, I need to code for what is documented, however the office staff already quoted a price for the "sports physical" which the price is way different than that price of the yearly. Some of our patients are only getting to the doctor when they need the sports physical, due to insurance or other hurdles. So the provider feels like they need to do a complete physical. Is that necessary? I code for what was done, not knowing its only suppose to be a sports physical, because the providers are doing the same exam for both. Is there a standard exam template that is used for sport physical exam? What are other practices doing to differentiate between the two. I have thought about sport physical clinics, but that is not my decision to make. I have done the research and checked numerous places and have found nothing useful on this. Is there a standard? How can we offer the sports physicals and stay in the guidelines of correct coding and billing regarding coding what is documented. I realize that we need to inform our front staff not to quote prices, that has already been done. Now I need to know if there is a sports physical standard exam template and where do I find it? My email is ljhollis2009@hotmail.com if anyone can offer guideance on this. Thank you.