decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 2 (February)
TIP: Bill patient for portion of well-woman exam that isn’t covered by Medicare
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Article Overview
This article addresses coding and billing considerations for ObGyn well-woman visits when a Medicare beneficiary is seen. It explains the broad split between Medicare-covered preventive components and the remaining noncovered portion of the visit, and it is relevant to ObGyn billers, coders, and practice staff working with Medicare preventive services.
Why This Topic Matters
Medicare coverage rules for preventive visits can affect how ObGyn practices capture reimbursement and separate covered from noncovered services. Understanding the topic helps billing staff recognize when a visit involves both Medicare-reimbursable and patient-responsible components.
What You Will Learn
- How the article frames Medicare billing issues for well-woman visits
- Which broad parts of the visit are discussed as covered versus noncovered
- What type of coding and billing education the article points readers toward at the event mentioned in the text
- The general ObGyn coding topics associated with the referenced educational session
Who Should Read This
- ObGyn coders
- Medical billers
- Practice managers
- Gynecology billing staff
- Medicare billing specialists
Codes Discussed
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