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Power of Attorney Visit

  1. #1
    Location
    Green Bay, WI
    Posts
    48
    Default Power of Attorney Visit
    Medical Coding Books
    Can anyone provide supporting information on how to properly bill for a Power of Attorney exam? The patient has to have two physician signatures for the Power of Attorney form. How should these two visits be billed? Can both be covered by insurance? By Medicare?

  2. #2
    Default Power of Attorney Examination
    At whose request was the examination completed?
    Heather Winters, CPC, CFPC

  3. #3
    Location
    Green Bay, WI
    Posts
    48
    Default
    There wasn't a request. The state law requires that two physicians evaluate a patient to deterimine the patient mentally incompitent. Both physicians had evaluated the patient, determined she was gradually decreasing mentally and no longer capable of making certain types of decisions. Therefore the Power of Attorney needed to be assigned.

  4. #4
    Location
    Green Bay, WI
    Posts
    48
    Default help - Power of Attorney
    Can anyone answer this? There wasn't a request, the state mandates require that 2 physicians sign the Power of Attorney form and evaluate the patient.

    Can anyone provide supporting information on how to properly bill for a Power of Attorney exam? The patient has to have two physician signatures for the Power of Attorney form. How should these two visits be billed? Can both be covered by insurance? By Medicare?

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default 96116
    Could it be that your physician is performing a Neurobehavioral status exam ... CPT 96116? This is usually the "mini mental" exam ... it includes BOTH the face-to-face time and the time spent interpreting test results and writing the report.

    You might also contact the state and ask them what code they want if it is for a Medicaid patient. (I know, you're asking about Medicare ... but the state runs Medicaid, and since it's the state's requirement, they might have some idea of what code they want to see reported for this service.)

    Also, I would think that the state requirement for two physicians is for two independent physicians, so they probably shouldn't be from the same practice. Again, the state is your best resource to answer that question.

    F Tessa Bartels, CPC, CPC-E/M
    Last edited by FTessaBartels; 10-08-2008 at 12:51 PM.

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