In patients with atrial fibrillation, a stroke caused by bleeding in a poorly monitored patient taking warfarin is legally equal to a stroke caused by a clot in a patient who should have been prescribed warfarin but was not e. The best method of monitoring patients with atrial fibrillation is to have venipuncture done at an outside lab and for the physician to call the patient with the results 2. The individual who is taking care of these patients must be an employee of the physician or the physician owned group or clinic under whose provider number the billing will be handled b. The physician can provide general supervision from a remote location c. Supplies that are not commonly furnished as part of the visit cannot be charged d. Multiple charges in a single day are permitted 3.
Warfarin has no effect on stroke reduction in secondary prevention trials e.
The incidence of stroke from atrial fibrillation in untreated patients under 65 is over 5 per cent per year 5. Should receive anticoagulation only if they have previously had a stroke b. All Rights Reserved.