ACC clinic visits

edited May 2017 in Primary Care
We have had an anticoagulation clinic for quite some time. Recently, a significant number of our patients switched from traditional Medicare with a supplement to a Medicare Advantage Plan. So, patients who never received a co-pay in the past are now receiving a co-pay. Thus the patients are concerned more than ever about our 99211 charge. I am interested in whether any of you have anticoagulation clinics and whether you charge a 99211 for EVERY encounter to the anticoagulation clinic or just visits where there is a change in dose or a change in diet that requires education or some "intervention"? If you only bill a 99211 on only certain visits, how do you explain to patients why sometimes they get the charge and sometimes they do not. Thank you, Rich Fairley, MD, Dubuque IA
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