decisionhealth Newsletters, Part B News - 2014 Issue 6 (June)
Update your AWV checklist: Medicare covers Hepatitis C tests
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Article Overview
This article covers Medicare’s addition of Hepatitis C virus screening as a preventive benefit and explains the general coverage framework behind the change. It is aimed at coders, billers, and compliance staff who need to understand who may qualify, the care-setting and ordering context, and the fact that CMS still needs to issue detailed coding and billing guidance. The discussion also places the update in the broader preventive-services landscape and references the role of USPSTF grading and ACA preventive coverage requirements.
Why This Topic Matters
It helps billing and coding professionals recognize a new Medicare preventive service, understand the affected patient populations and care-setting limitations at a high level, and anticipate that formal CMS transmittals will be needed before policy details are fully operational.
What You Will Learn
- The general Medicare coverage framework for Hepatitis C virus screening
- Which broad patient groups are discussed as eligible for screening
- How the article situates the benefit within preventive care policy and CMS guidance
- Why additional CMS billing and coding transmittals are still relevant
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Compliance professionals
- Primary care practices
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