I have a NP who does SNF visits. She has her own provider number. She said that she does not have to have vital signs in order to
bill for her visits. Lately none of her visits have vitals and all notes read the same. The only thing that changes is the residents name and
their diagnosis. She lists no medication and in my opinion the visit is not billable, because she has no chief complaint and the resident is always in
no acute distress. Also her plan is the same on all, will continue current meds and continue to follow.

Am I wrong on saying that there is no medical necessity and that I can not bill for these visits when she says they are at least a 99307.
Please need opinions right away.

Thanks