I would code and bill it according to what was done. I am sure there is a little leniency when it comes to existing problems - ie: if the md is checking the diabetes and writing a script, this may not warrant a separate and identifiable problem so depending on the situation this could simply be part of the physical.
I would book appointments according to what the patient wants and when they try to get a physical included in the appointment, it is time for the MD to stand up and inform them to book a physical as it is time consuming and the appointment did not allow for that type of service.
the largest barrier you are going to have is the MD's to get this going.
It might also be good to inform patient's about the policy you have in your office so they are not confused.
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