Hi my provider insists on doing more than one 99396 a year because if not her census will be low and she will get dinged at the end of the year. So we bill 99396 with a Z01.419(well woman) then within the same year about a month or two apart from the well woman visit we bill a 99396 again, this time with a Z00.00(physical). (Ins will deny a E&M code with a Z00.00). The first service usually gets paid while the second service is denied or they ask for Medical Records we submit them and then they deny it. She says it would be too much work to do them on the same day and wants me as her biller to figure out how to code it or what modifier to use to get the insurance to pay. Is this even possible? Medicaid as a rule will only allow one preventative care service a year! Please help.