Across two plans, 67.8% of members had documentation of a medication review with a range of 61.5- 74% between the two plans. Similarly, 69.1% of members had a medication list in the medical record with a range of 58.8- 79.3%. Rates increased slightly when assessing if either a documentation of medication review or a medication list was present, with 75.8% of members having either one. 2c.
http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=69976
To err is human: building a safer health system. NQF #0553 Care for Older Adults – Medication Review See Guidance for Definitions of Rating Scale: H=High; M=Moderate; L=Low; I=Insufficient; NA=Not Applicable 6 Washington, D.C: National Academy Press. 2002.
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If I transfer a patient from Hospital A to Hospital B, can I bill a discharge service code (99238–99239) even though the patient will be admitted on the same day to Hospital B?
http://www.aafp.org/fpm/2010/0900/p36.html
A. Your documentation of “medication list reviewed” is likely acceptable as long as the medication list is also updated and signed by the physician.
http://www.aafp.org/fpm/2010/0900/p36.html
Send questions and comments to fpmedit@aafp.org, or add your comments below. While this department attempts to provide accurate information, some payers may not accept the advice given. Refer to the current CPT and ICD-10 coding manuals and payer policies.
http://www.aafp.org/fpm/2010/0900/p36.html
Structure of CPT Codes. A CPT code is a five digit numeric code used to describe medical, surgical, radiology, laboratory, anesthesiology, and evaluation/management services for physicians, hospitals, and other health care providers. There are approximately 7,800 CPT codes ranging from 00100-99499.
http://www.rheumatology.org/Practice-Quality/Administrative-Support/Coding/Coding-Guidelines/CPT
CPT. The Current Procedural Terminology (CPT®) developed and published by the American Medical Association is the standard code set used by physicians and healthcare providers to report all medical procedures and services to CMS and third-party payers.
http://www.rheumatology.org/Practice-Quality/Administrative-Support/Coding/Coding-Guidelines/CPT
The total reimbursement would be $200 + $75= $275.00 CPT 99359- Review of medical records in excess of the 30 minutes included in 99455/56 and 90 minutes in total shall be billed by the half hour using this code. The reimbursement rate is $37.50 per half hour.
http://www.wcc.state.md.us/PDF/MFG/MFG_misc.pdf
CPT 99456- IME by Non-Treating Physician-Includes 30 minutes of record review time. CPT 99358- Review of medical records in excess of the 30 minutes included in 99455/56. For the first hour of record review thereafter, this code shall be used. Reimbursement rate is $75.00 for first hour. In the bill, the Dr. must itemize the total time spent reviewing the medical records.
http://www.wcc.state.md.us/PDF/MFG/MFG_misc.pdf
Measure variables should not differ. NQF #0553 Care for Older Adults – Medication Review See Guidance for Definitions of Rating Scale: H=High; M=Moderate; L=Low; I=Insufficient; NA=Not Applicable 13 appreciably beyond the health care system’s control, or variables should be known and measurable.
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medication review  cpt code
The CPT code of medication review is 99358. The medication review CPT, Current Procedural Terminology code is 99358.