decisionhealth Newsletters, Part B News - 2020 Issue 5 (May)
Practices see 48% jump in ‘Welcome to Medicare’ payments over 5-year stretch
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Article Overview
This article examines Medicare claims trends for the initial preventive physical exam, often called the Welcome to Medicare visit, across a five-year span. It focuses on changes in reimbursement, claim volume, and denial rates, and notes which provider types and specialties were most commonly involved. The piece is useful for practices, coders, and revenue cycle staff who track preventive Medicare services and reimbursement patterns.
Why This Topic Matters
The article highlights how a Medicare preventive service changed in use and payment performance over time, which can help organizations monitor utilization and claims outcomes for a common entry-point Medicare visit.
What You Will Learn
- How Medicare claims activity for the initial preventive physical exam changed over time
- What broad reimbursement and denial trend measures are reported
- Which provider groups accounted for most claims
- Which specialty groups were represented among claims submitters
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Primary care practices
- Medicare providers
Codes Discussed
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