Can Physicians Bill for Both Preventive and Evaluation and Management (E/M) Services During the Same Visit?

Can Physicians Bill for Both Preventive and Evaluation and Management (E/M) Services During the Same Visit?

When a patient is seen for a physical or preventive/wellness visit, and also has acute complaints or chronic problems which require additional evaluation, some physicians encounter challenges when coding and billing for both services. There is confusion about whether it is permissible to bill for acute or chronic care, as well as the preventive service, in the same visit. Sometimes physicians are advised that they cannot bill for both services, other times they are told they can bill for both but only one will be paid, and sometimes there is patient pushback when they receive a billing statement with charges they were not anticipating.

  • Provider:American Medical Association
  • Activity Link: https://edhub.ama-assn.org/debunking-regulatory-myths-learning-series/module/2799736
  • Start Date: 2022-12-15 06:00:00
  • End Date: 2022-12-15 06:00:00
  • Credit Details: AMA PRA Category 1 Credit™️: 0.25 hours
  • MOC Credit Details: ABS - 0.25 Point; Credit Type(s): Accredited CME (ABS)
    ABPATH - 0.25 Point; Credit Type(s): Lifelong Learning (ABPATH)
    ABIM - 0.25 Point; Credit Type(s): Medical Knowledge (ABIM)
    ABP - 0.25 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
    ABOHNS - 0.25 Point; Credit Type(s): Self-Assessment (ABOHNS)
  • Commercial Support: No
  • Activity Type: Enduring Material
  • CME Finder Type: Online Learning
  • Fee to Participate: No, it's free
  • Measured Outcome: Learner Competence, Learner Knowledge
  • Provider Ship: Directly Provided
  • Registration: Open to all
  • Specialty: All Practice Areas (e.g. ethics), General Otolaryngology, General Pediatrics, General Surgery, Internal Medicine
«
Subscribe
Notify of
guest
0 Comments
Oldest
Newest Most Voted
Inline Feedbacks
View all comments
0
Would love your thoughts, please comment.x
()
x

Contact us

If you want to join leaders who will shape what Americans think about sleep.

Name(Required)
Sign Up
This field is for validation purposes and should be left unchanged.

Sign up for the expert list

for media inquiries

Name(Required)
Sign Up
This field is for validation purposes and should be left unchanged.