decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 5 (May)
Don’t forget these Medicare-covered preventive services
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Article Overview
This article explains how Medicare preventive-service coverage relates to annual wellness visits and other preventive encounters. It is aimed at coders and billing staff who need a broad understanding of which screening services are discussed, the kinds of code sets involved, and the general Medicare coverage context referenced in the article.
Why This Topic Matters
Preventive services are often billed under specific Medicare coverage rules, and this article helps readers identify which screening areas are addressed so they can judge relevance before reviewing the full guidance.
Article Sections
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Introductory overview
Introduces Medicare preventive-service coverage in the context of wellness visits and explains that the article focuses on common screening services and general billing considerations.
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Bone mass measurements
Covers osteoporosis-related screening coverage, associated timing, and the broad reporting framework discussed for this preventive service.
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Cardiovascular disease screening blood tests
Summarizes Medicare coverage for cholesterol-related screening blood tests and the associated laboratory reporting context.
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Colorectal cancer screening
Reviews the main colorectal screening modalities discussed in the article and their Medicare preventive-service context.
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Fecal Occult Blood Test
Focuses on the fecal occult blood screening discussion within colorectal cancer prevention and related billing context.
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Flexible sigmoidoscopy
Covers the screening flex sigmoidoscopy discussion, including the article’s Medicare coverage context and related coding mentions.
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Colonoscopy
Summarizes the preventive colonoscopy discussion and its place within Medicare colorectal screening guidance.
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Barium enema
Discusses the barium enema screening option as presented in the colorectal cancer screening section.
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Diabetes screening
Covers the diabetes screening service discussed in the article, including the Medicare preventive context and associated reporting references.
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Glaucoma screening
Summarizes the glaucoma screening discussion, including the general examination context and Medicare coverage framing.
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HIV screening
Reviews the HIV preventive screening topic, including the article’s discussion of beneficiary categories and related reporting context.
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Mammography - screening
Covers the screening mammography topic and its Medicare preventive-service context for women in the age groups discussed.
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Pap tests - screening
Summarizes the cervical cancer screening topic and the reporting framework discussed for screening and interpretation-related services.
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Pelvic exam - screening (and clinical breast exam)
Discusses the preventive pelvic and clinical breast exam topic and its Medicare coverage context for female beneficiaries.
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Prostate cancer screening
Covers the prostate cancer screening services discussed in the article and the general Medicare billing context for those services.
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Official resource
Provides a reference to a Medicare preventive-services resource cited by the article.
What You Will Learn
- Which preventive service categories Medicare covers in the article’s overview
- How the article organizes common screening topics for wellness-visit and preventive-care billing
- Which broad code sets and organizations are referenced for Medicare preventive-service guidance
- What types of screening services and beneficiary groups are discussed
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Primary care practices
- Ob/gyn practices
- Gastroenterology practices
- Hospital outpatient coding staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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