As eligibility widens, add more patients to your hepatitis B screening ranks

Why This Topic Matters

The coverage change broadens the population eligible for hepatitis B screening and changes how claims must be supported for certain patient scenarios. Understanding the update helps avoid claim denials and supports accurate preventive-service reporting under Medicare.

Article Sections

1. Defining high-risk patients

   Summarizes the updated Medicare coverage context for identifying eligible high-risk patients and the general factors CMS uses in the revised screening guidance. It also addresses screening frequency and pregnancy-related coverage scope at a high level.

2. How to report the screening test

   Reviews the reporting framework for hepatitis B screening, including the relevant code sets, diagnosis support, and claim-handling considerations for pregnant and non-pregnant patients. It also notes frequency and denial-related guidance in broad terms.