tci Medicare Compliance & Reimbursement - 2015 Issue 4

Preventive Counseling: Don't Give Away Obesity Counseling for Free

Tip: Count both individual and group counseling services provided to the patient. When your physician uses his expertise to counsel a patient about obesity, the last thing you want to face is a denial for these services. Keep track of, document, and report the number of sessions that receive coverage — and track provider and POS requirements to ensure that you help your patient achieve goals without risking pay. When your physician performs counseling for obesity, you’ll have to report one of the following HCPCS G codes: G0447 (Face-to-face behavioral counseling for obesity, 15 minutes) G0473 (Face-to-face behavioral...

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