Forum - Questions & Answers

May 17th, 2010 - kbarney

documentation guideline for refilling prescriptions

Is there any CMS guideline that indicates how often a patient should be seen in order to keep refilling medications?

May 17th, 2010 -

nope

That is up to the doctor. But there must be medical justification for the visit such as BP check, DM check, etc, not just refill med. There are some basic standards set by specialty societies such as TSH every year, DM checks every 3 to 6 months, etc. If refill visits are more frequent than that then there should be a good justification, such as a followup after a dosage change, or a known side effect that requires monitoring. There may be reason to see some patients monthly but that is the exception.

On the other side, if a patient will not come in for refills as the doctor requests, such as yearly, the doctor should discharge the patient from the practice.



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