Preventive service not covered until EKG, visit both complete

Why This Topic Matters

Understanding the relationship between the preventive visit and the screening EKG is important for correct Medicare billing and to avoid submitting claims for noncovered portions of the service. The article helps readers recognize the general reporting structure and the role of CMS guidance in payment eligibility.

Article Sections

1. Medicare coverage requirement for the Welcome to Medicare visit

   Overview of the new Medicare preventive visit benefit and CMS guidance on when the service is considered complete for billing purposes.

2. HCPCS reporting and EKG component options

   General discussion of the separate HCPCS reporting structure for the preventive visit and associated screening EKG, including the different ways the EKG component may be furnished.

3. Billing scenarios for different service arrangements

   Summary of several broad arrangements in which the visit and EKG components may be performed by different parties or in different locations.