CQW Panacea-re-brand-rev3

Respiratory

For the Week of March 2, 2015

Question:

Is it appropriate to have a clinical nurse specialist (CNS) bill a pulmonary rehab patient for specialized E&M Services with where a comprehensive assessment and consultation is done to convey importance of pulmonary rehab?

Answer:

Depending upon the patient’s condition and intent of the visit, legitimately you could report an E&M service if it meets coverage criteria. For example, it would be appropriate if the intent is an assessment that includes clinical work for the purpose of understanding the patient’s condition and determining whether they would fit into the pulmonary rehab program.

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