Your office gets the phone call. Johnny wants to play soccer because Billy is playing soccer, but Johnny needs medical clearance before practice begins in 3 days. Your practice chooses to work Johnny into the schedule, but what codes will be reported and will you be paid for the services provided? The answers will depend on the extent of service provided, the patient’s benefit plan, and your practice’s proactive handling of requests for sports physicals and other common encounters for evaluation and approval for participation.

One method of addressing the encounters for clearance to participate is to proactively educate parents and caregivers on the preparticipation clearance required for sports and other activities and your practice’s policies on scheduling and delivery of the services. A flyer advising patients of the benefits of preparticipation physical evaluations (PPEs) in the pediatrician’s office is included on the American Academy of Pediatrics “Preparticipation Physical Evaluation”...

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