Medicare Compliance & Reimbursement - 2011 Issue 41
Preventive Care: CMS to Cover Annual Cardiovascular Disease Prevention Visit
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Article Overview
This article explains a CMS preventive care coverage decision that adds a Medicare cardiovascular disease prevention visit and describes the broad components of the visit, the types of clinicians eligible to perform it, and CMS’s behavioral counseling framework. It is relevant to primary care practices, preventive medicine clinicians, and billing or compliance staff who need to understand what the new benefit covers at a high level and where CMS has limited its furnishing requirements.
Why This Topic Matters
The decision affects how Medicare beneficiaries may access preventive cardiovascular risk assessment and counseling, and it has implications for practice workflow, coverage awareness, and preventive service delivery in primary care settings.
What You Will Learn
- What CMS announced regarding Medicare coverage for a cardiovascular disease prevention visit
- Which general clinical activities are included in the covered preventive service
- Which categories of practitioners CMS says may furnish the visit
- How CMS frames the behavioral counseling approach used in the visit
Who Should Read This
- Primary care physicians
- Internal medicine practices
- Family medicine practices
- Nurse practitioners
- Geriatric medicine clinicians
- OB-GYN practices
- Medical billing and coding staff
- Compliance staff
- Medicare administrative staff
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