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Can you bill for an unseen patient? sm - Faith

Posted: Jul 30, 2014

A patient came in to the office, threw his urine drug screen req form at me, spouted off profanities at my doctor, got in his face, threatened him with both physical violence and a lawsuit (for telling him to leave and calm down and then come back), called him a bunch of names and then stomped off. Can't bill for that, can I? It seems a shame since that slot could have been used for a good patient, not to mention the whole thing took 25 minutees.

Seems like a missed appt. - They bill for those

[ In Reply To ..]
nm

Depends on who is paying for it. - sm

[ In Reply To ..]
Who is paying for it?

Employer? Prospective employer? Bill them. Be sure to explain exactly what happened.

Parole office? Bill them. Be sure to explain what happened.

Drug rehab place? Bill them. Explain the behavior.

Insurance company? Sure, I would bill them. Explain the lost office time.

Medicare? Probably not.

The patient? Definitely NOT! Too dangerous.

Don't give him another appointment. If he shows up again like that, call the police. You should have called them after the first 5 minutes last time.

Depends - Anonymous one

[ In Reply To ..]
All of the above, and file a restraining order.

Also, he WAS seen ... - for 25 minutes

[ In Reply To ..]
Just because he didn't make it to a treatment room doesn't mean he wasn't seen. Certainly sounds like some counseling happened.

Don't use 99211, either--this necessitated the physician's participation. Go with the "counseling and coordination of care" provision. Bill for the new or established patient E&M that is closest. It is between 99202 (20) and 99203 (30), or 99214 (25).

Definitely establish a record on this patient. Have the physician document the encounter.

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