tci Part B Insider - 2007 Issue 33

READER QUESTION: Don't Let Fear Of Denials Keep You From Billing Monthly A1C Tests

Make sure your fifth digit supports uncontrolled diagnosisQuestion: How many times per year can you run hemoglobin A1C tests on your patients and still get paid for them? Quarterly? Twice a year? Missouri subscriber Answer: It depends on the patient's condition, says Jenifer Cox with Fairview Red Wing Medical Center in Red Wing, MN. For a stable patient, you can bill Medicare for an A1C test every three months, according to the National Coverage Determination (NCD) on the Centers for Medicare & Medicaid Services (CMS) Web site. (-NCD for Glycated Hemoglobin/Glycated Protein,- 190.21)You use the A1C test...

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