Part B Coding Coach: You're Losing Big On G0344 Claims If You Don't Report Diabetes & Cardio Screenings Separately

Why This Topic Matters

These rules affect whether claims are paid correctly and whether preventable denials occur for preventive Medicare services. The article is useful for practices that bill Medicare preventive visits and want to reduce missed reimbursement and documentation-related rejections.

Article Sections

1. Mistake #1: Forgetting To Report Separate Preventative Screenings

   Discusses preventive screening services that may be billed separately in connection with the Welcome to Medicare exam. It also addresses general coverage and diagnosis-linking considerations for screening claims.

2. Mistake #2: Billing A WTM Exam For Pre-2005 Beneficiaries

   Covers timing and eligibility issues related to the Welcome to Medicare benefit and Medicare Part B effective dates. It also notes how related preventive services may be considered in other coverage contexts.

3. Mistake #3: Failing To Use The Correct EKG Code

   Explains documentation and billing distinctions for the screening EKG component associated with the Welcome to Medicare exam. It also references a diagnostic EKG code in contrast with the screening workflow.

4. Mistake #4: Reporting 99387 Or 99397 Instead Of G0344

   Reviews how preventive medicine visit coding can be confused with the Welcome to Medicare exam when documentation is unclear. It emphasizes the importance of accurate identification in superbills and provider notes.