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There is a MO Healthnet Webinar training scheduled for Aug 14 at 2pm for Local Public Health Agencies. You need to go to MDHSS MO Healthnet info providers, click on fee for service providers, under education click on training information, click on third quarter training and scroll down to Aug 14 Local Public Health Agency & click on register here…follow instructions from there. Hoping this will help all of us with some of the questions we have had.
in the CPT 2018 standard code book it says–
99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually the presenting problems are minimal. Typically, 5 minutes are spent performing or supervising these services.
You do not have to have a physician and you do not have to be a nurse to perform services and bill for this code. You can be a medical or nurse assistant, WIC HPA, WIC certifier, nutritionist.for medicaid and managed medicaid We always bill 99211, which doesnt require a Dr thats why they allow health dept to use it with vaccines and they have to do height, weight, and education which im sure you already do the hand outs and such. We bill it under Z00129 for 99211 and Z23 for vaccines. I have never had an issue with paying. I use the Z02.89 for WIC office visits.
If you bill a 99212 you must have the following and it is for the evaluation and management of an
established patient, and requires at least two of these three key components be present in the medical record:
1. A problem focused history
2. A problem focused examination;
3. Straightforward medical decision making
A tip for billing 99212 is that the presenting problems are usually self-limited or minor.
Typically, 10 minutes are spent face-to-face with the patient and/or family.
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