tci Part B Insider - 2009 Issue 22

READER QUESTION :Document Pelvic Exam and Pap Elements Properly to Improve Pay -- And Keep Patients Happy

If you don't document appropriately, the patient could end up being responsible for applicable non-covered services. Question: If my ob-gyn sees a Medicare patient for a breast and pelvic exam, but the documentation does not qualify for the seven of 11 elements to bill the G0101 code, should I bill the wellness code instead? Also, if my ob-gyn did a Pap smear, should I still bill Q0091 with 99397, instead of billing it the usual way of G0101 and Q0091? Answer: Ask your ob-gyn why she isn't documenting seven of the 11 required elements to get paid? This suggests...

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