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New patient visit over the course of 3 separate days
Posted By Mary Peabody on 05-20-2020, 14:30:55 in Ob-Gyn
Hello Melanie,

I have a provider who would like to see new patients over the course of 3 separate days:
• Day 1, video visit: she would meet with the patient by video and obtain the patient’s history.
• Day 2, in-person visit: she would perform a physical exam.
• Day 3, video visit: discuss the assessment and plan.
Would we need to drop charges for each of those visit if they were on separate days? I have never seen this performed before.

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Posted By Melanie Witt on 05-21-2020, 13:52:23
I would also add that billing 3 days in a row will certainly bring your claims and documentation to the attention of the payer.
Posted By Melanie Witt on 05-21-2020, 13:51:18
Technically you would but you now have a problem: day 2 does not meet the requirements of a billable E/M service as it is only an exam and not inclusive of the other elements required and repeating what was already done would not a very risky thing to do as it is not medically necessary to do so. Day 1 would have to be billed by time alone, and day 3 by either time or MDM alone. And you cannot combine the work of 2 days worth of work - only all work performed on the same date of service. You may have to not get paid for the exam per any current guidelines.
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