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#24075

Angie – why do you think you can only bill a 99211 if the client sees an RN?

This all started when my WIC Coordinator was confused on the email we received in prepping us for the HEDIS audit. The email stated that we HAD to disclose records but COULDN’T disclose that they were in the WIC program. When my coordinator spoke to her contact (can’t remember their name now) I specifically asked this person how we were suppose to disclose the record without disclosing that they were WIC. This person is the one that told me about the WIC encounter form that shows just a small statement of what they were seen for (codes, fee, etc) along with their signed authorization that I could bill those said charges to Medicaid. She then recommended that we keep these encounters in a separate paper file for such instances as an audit. She emailed me an example, and we have been drafting our own copy from it.

The question I still have is – do they have to sign this authorization EVERY appointment – or is it like our regular HIPPA form that our other clients sign once a year? We do NOT have EMR here – we are old school with paper files.

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