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Re: , please help to check the billing/coding rules [6 Attachm

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The problems with being reimbursed for E & M visits done at the same

time as preventive services must be state/region specific. While I'm

not billing Medicare yet (yes caught in application hell and giving

away care to a few patients), none of the private insurers (including

medicaid managed care) have given me any problem about re paying for

both cpt codes (as long as I remember to add back in the -25 modifier

that unfortunately the Amazing Charts-EZ Claims import-export utility

cuts off). Preventive care is so underpaid compared to my E & M visits

that adding on an E & M visit to the CPE makes an hour long CPE visit

much more reasonable (well, guess that I could do it in less time, but

feels good to me and the patient to spend that much time on a good

health assessment and wellness plan).

Take care,

-

Queenan, MD

Queenan Family Medicine and Maternity Care

" Mindful medicine for whole body, mind, and spirit "

1501 East Ave, Ste 211

Rochester, NY 14610

emilyqueenan@...

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