Can you Bill for Medication Management as a Separate Visit?

Can you Bill for Medication Management as a Separate Visit?

Are you wondering about “can you bill for medication management as a separate visit?” Well, it is a common question among physicians. The answer to this question varies depending on the type of practice setting that you are in. But, it can be difficult to determine how to bill for that visit.

But if you are medical billing under an outpatient clinic or hospital setting, there is no reason you cannot bill for these services separately. Practice settings typically have different rules and regulations about billing practices. So, it is important to know what your practice allows before deciding how to charge patients for their care.

In this blog post, we will go over how to tell when you should bill for a separate medication management session and what codes are most appropriate for this situation.

What is the Medical Management Process?

Medication management is the process of making sure that a patient has access to and takes their medications correctly. This includes giving patients instructions on how to take their medication, assessing for any possible drug interactions, answering questions about side effects or issues with refilling prescriptions.

Can you Bill for Medication Management as a Separate Visit?

There are many reasons why you might want to bill for this service as a separate visit. It can be especially helpful if you are billing for prior authorizations or other pre-certifications that require you to provide patients with detailed information about their medications and how they should take them.

It is important to keep in mind what your practice allows when it comes time to decide how much of the visit will be paid by the insurance company.

Here are some questions to ask yourself about billing for medication management as a separate visit:

  • What practice settings am I in? How does each setting allow me to bill for these services, if at all?
  • Do any of my payers require documentation on why or how the patient is taking their medications? If so, do I need to provide this documentation as part of the visit? Or can it be provided through other means such as a phone call or email?
  • Do any of my payers require me to assess potential drug interactions before prescribing new medication?
  • What details about the visit will I need to include in the note when billing for this visit?

What is the CPT code used for medication management?

The CPT code for medication management is 90833. This code is typically used when a physician provides services for patients taking medications that require special attention or management.

Coding also varies depending on the practice setting you work in. Your payers may have different requirements about how to bill these visits, if at all. So, it’s important to check with your insurance companies regarding what documentation and coding they require.

Final thoughts

We hope that you got the answer of can you bill for medication management as a separate visit? In this blog post. If you are looking for professional medical billing and coding services, look no further than MdSol Billing. We have a team of medical billers who can handle all the billing needs of your practice.

So what are you waiting for? Get in touch with us today!
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