Preventive Medicine
https://www.cms.gov/CCIIO/Resources/Data-Resources/ehb
NEWS:
Hand Out: Preventive Services Checklist for your Patients
CMS: Updates to Preventive Services Eff 2022-10-01
- 13 bone mass measurement codes
- 3 hepatitis B screening codes
Preventive Medicine Coding and Billing Info
State Essential Health Benefit (EHB) Plans; The Affordable Care Act requires non-grandfathered health plans in the individual and small group markets to cover essential health benefits (EHB). HHS regulations (45 CFR 156.100, et seq.) define EHB based on State-specific EHB-benchmark plans. CMS lists the EHB benchmark plans for each of the 50 states and the District of Columbia (D.C.).
Telehealth applicable codes will be indicated with a phone icon.
Click on the topic you’re interested in below to view the information for it. You can also scroll down to review all topics. To see published recommendations according to population/grade per U.S. Preventive Services Task Force, click here
This educational tool is not meant to be viewed as coding or billing guidelines.
Resources
Select the title to see a summary and a link to the full article. some articles require a subscription to view.
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Addressing Trauma and Mass Violence
by Amanda Ballif
by SAMSHA Newsroom
by CMS - MLNConnects
by Terry Fletcher, CPC CCC CEMC CCS CCS-P CMC CMSCS CMCS ACS-CA SCP-CA QMGC QMCRC
Understanding the Basics of Reporting Mammography Services
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Terry Fletcher, CPC CCC CEMC CCS CCS-P CMC CMSCS CMCS ACS-CA SCP-CA QMGC QMCRC
Preventive Services
by Shannon O. DeConda, CPC CPC-I CEMC CEMA CPMA CRTT
2022-03-03-MLNC - 2022 Payment, Quality, & Policy Changes
by CMS - MLNConnects
by CMS - MLNConnects
New Codes for Pediatric COVID Vaccinations
by Jared Staheli, MPP
Chronic Care Management Services
by Wyn Staheli, Director of Content - innoviHealth
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Coding Medicare Initial Preventive Physical Exams (IPPE)
by Aubrie Rowley
CMS: Medicare Diabetes Prevention Program Expanded Model
by Find-A-Code™
by Find-A-Code™
Preventive Medicine: Annual Wellness Visit
by Find-A-Code™
Preventive Medicine: Breast Cancer Genetic Screening
by Find-A-Code™
Preventive Medicine: Breastfeeding Supplies
by Find-A-Code™
by Find-A-Code™
Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.
by Find-A-Code™
Proper Coding and Billing for Drugs, Biologicals and InjectionsLinks and resources by topic.
Plan networks and government plans are required to cover preventive services as required by the Affordable Care Act (ACA) at no cost to the patient. This covers numerous screenings, counseling and well visits to prevent illness, disease and health problems. Services are based on age, gender, and other health factors. This does not include diagnostic testing as this is not considered preventive. Preventive services must be performed by a covered provider, in-network and may be used to develop a wellness plan to keep the patient healthy.
This page was created from a need to have all of the information in one place to accommodate Payers, Providers, Researchers, and others, suggestions and feedback are always welcome, please send it to us at Support@Findacode.com. The information covered on this page is informational only and not meant to be all-inclusive, always verify coverage with your payer.
For more information about the Affordable Care Act visit HHS.gov
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