Since moving to EPIC we have found providers using Z codes or other wellness visit codes when ordering labs such as Lipid Panels, CMPs, etc...
We are receiving denials because many patients do not have insurance that covers labs as "wellness". We were going to make a hard stop so the providers could not use a wellness code as a diagnosis for labs but received a lot of pushback since there are patients who have that wellness benefit.
Obviously, its too cumbersome to try to figure out what insurances cover wellness labs and code those correctly... how have your organizations handled this?
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Ryan Taylor MSN, RN, CPN, NE-BC
Director of Medical Practice Management
Memorial Hospital and Health Care Center
Jasper, Indiana
812-996-8489
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