I am frequently asked when is it appropriate to bill a reevaluation to an insurance carrier? Is it appropriate to bill when I am doing a Progress Report on a patient? Is it appropriate to bill for the purpose of completing a recertification on a Medicare patient? Is it appropriate to bill on the day I am also reporting the functional limitation reporting G-codes on a Medicare patient?
In this article, I will answer the above 4 questions and provide you with the main criteria when a reevaluation would be appropriate to perform on a patient and bill to the insurance carrier, including the Medicare program. Lets start with the criteria of when a reevaluation is appropriate to perform and bill to an insurance carrier.
A reevaluation may be considered reasonable and necessary in the following situations:
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.