tci Medicare Compliance & Reimbursement - 2012 Issue 11

CMS Coverage: Check New Code for Sexually-Transmitted Disease Counseling

Know what constitutes 'high risk' patients in CMS's view.You may have heard that Medicare now reimburses for your physician's work screening for sexually-transmitted diseases, but many practices were unsure of the coverage details. CMS aims to quell any confusion over this issue with a new transmittal that's sure to shed some light on how to collect for these services -- including the issuance of a new G code.Background: Effective Nov. 8, 2011, Medicare covers screening via lab test for Chlamydia, gonorrhea, syphilis, and hepatitis B when ordered by a primary care provider and performed by a Medicare-eligible...

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