Part B Mythbuster: Don't Forget to Check Secondary Coverage When Reporting Preventive Exams

Article Overview

This article is a coding and billing guidance piece for Medicare Part B offices that review how preventive examinations are handled when patients have supplemental or secondary coverage. It focuses on the difference between Medicare’s limited payment for preventive services and the role of other insurance, including when Medicare denial may be needed before a secondary carrier will process the claim. The discussion is intended for billing staff, coders, and office personnel who submit preventive visit claims and coordinate benefits.