In our group practices it's common for our providers to split bill between a prevenative well visit and a problem visit. There are certain situations that I agree with this, like when the patient comes in and has an acute problem that day. When I don't agree is when the physician bills a problem visit based on 3 chronic conditions instead of lumping it all under the Prevenative exam. I know the PE isn't covered by Medicare, however I'm looking for something to give some guidance on when this is an acceptable practice.