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Coding for Split Visits for Medicare Patients: Preventive Medicine and Office Visit on the Same Day

Coding for Split Visits for Medicare Patients: Preventive Medicine and Office Visit on the Same Day


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by Betsy Nicoletti
Three things are absolutely true about billing a Medicare patient for an office visit on the same day as a preventive medicine visit: color=#004854 ? Instructions from the Centers for Medicare and Medicaid Services (CMS) and the carriers are minimal and can be confusing, and yet this area of billing is a high-risk one. color=#004854 ? Reasonable physicians can disagree on how to do it. color=#004854 ? The best course for physicians is to develop a set of clinically defensible guidelines and use them. In this article, I have presented a draft of these guidelines for physician review and amendment. Using them will allow physicians to develop a practice policy and reduce variation among physicians within the practice.