DecisionHealth, DecisionHealth - 2011 Issue 8 (August)

Ask a Part B News Expert: Wellness visits and E/M levels

While CMS has stated you can bill an office visit on the same day as the Annual Wellness Visit (AWV), in a recent CMS provider forum, they made it very clear that there could be no “double dipping” of the documented elements from the AWV to meet a given level of E/M. How does the prohibition on “double dipping” affect the documentation requirements for the patient’s history of the present illness, medications, past surgical history, family history  and review of systems?  What do you see as the “maximum” level of new patient E/M that could be used if the physician/practitioner fulfills the requirements of the AWV?

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