decisionhealth Newsletters, Part B News - 2011 Issue 2 (February)
Wellness visits may take until end of March to be reprocessed and paid
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Article Overview
This article covers a Medicare claims-processing problem affecting early annual wellness visit claims and the expected timing for reprocessing and payment. It is aimed at coders, billers, and practices submitting Medicare Part B claims, and it discusses the affected date range, the claims-processing issue, related diagnosis reporting, and the use of an E/M service with the visit.
Why This Topic Matters
The article helps practices understand why some wellness-visit claims were denied, which claims were affected, and what general billing circumstances were being clarified by Medicare and its contractors.
What You Will Learn
- What happened to some early annual wellness visit claims in Medicare processing
- Which broad claim categories were affected by the processing issue
- How Medicare clarified the timing of payment for these services
- What related billing situation involving an E/M service was discussed
- How Medicare addressed confusion about the service’s timing and payment availability
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Primary care practices
- Medicare Part B providers
Codes Discussed
Modifiers Discussed
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