decisionhealth Newsletters, Part B News - 2005 Issue 1 (January)
Impact of new preventive visit may depend on how hard you push it
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Article Overview
This article explains how practices may increase use of the Welcome to Medicare preventive visit and why patient outreach and office workflow matter. It is aimed at coders, billers, practice managers, and clinicians working with Medicare preventive services. The article also summarizes CMS-related guidance on billing the service, associated office-based testing, and diagnosis code selection at a high level.
Why This Topic Matters
Understanding the introductory guidance around this Medicare preventive benefit helps practices recognize eligible patients, coordinate staff involvement, and align billing and documentation with CMS expectations.
Article Sections
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Promoting the Welcome to Medicare preventive visit
This section discusses how practices may increase awareness of the new Medicare preventive benefit among eligible patients. It focuses on outreach, scheduling opportunities, and general workflow considerations.
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Target patients already in the office
This section describes broad patient groups that may be identified for the preventive visit during routine office contact. It addresses how the benefit may fit into existing preventive or chronic care encounters.
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Patients will call
This section addresses expected patient questions and outside publicity around the benefit. It also notes CMS efforts to publicize new preventive Medicare coverage with partner organizations.
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Use most appropriate diagnosis code for preventive exam, CMS says
This section summarizes CMS comments on diagnosis coding for the preventive visit. It also notes the absence of specific coding edits and discusses general billing-related guidance.
What You Will Learn
- How practices may approach outreach for a new Medicare preventive benefit
- Which broad patient situations may present opportunities for the visit
- How staff roles and workflow may affect service delivery
- What CMS said at a high level about diagnosis coding for the preventive exam
- How public awareness efforts may influence patient demand
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Physicians
- Non-physician practitioners
- Compliance staff
Codes Discussed
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