tci Part B Insider - 2011 Issue 28

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

Tip: Obtain Medicare denial so the claim can cross over.Myth: You can't bill for a preventive visit for a Medicare patient beyond what's included in the "Welcome to Medicare" (WTM) exam or the "Annual Wellness Visit" (AWV).Truth: Regular Medicare won't pay for a preventive examination except for the WTM exam for a new Medicare patient, as well as an annual AWV--which, as you've probably been explaining to patients all year, is not a head-to-toe physical. But many Medicare patients may have other coverage that will pay for a full preventive visit.Many offices treating part B patients...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.