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Thread: Medicare Annual Physicals

  1. #11
    Join Date
    Apr 2007
    Pensacola, FL


    AAPC: Back to School
    Thank you all for your help... things are clearer now Ya'll are great!

    Kristie Stokes, CPC, AIHC ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

  2. #12

    Default Physical exams Medicare

    We bill a preventative exam with an e/m service and reduce the approved amount of the e/m from the preventative exam. I have found that for new patients the documentation does not always support two services. I think that is the key. What idoes the documentation show. A level 99203 and 99204 requires the same or more work then some of our physical forms so why would we code both? That would be double dipping. It is case by case and educating the providers is the key. It would make more sense to code 99212 or 99213 which requires less. Coding two new patient services would be incorrect I agree.
    Wendy RHIT,CCS-P, CPC

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