tci Medicare Compliance & Reimbursement - 2006 Issue 39

PART B: Check Secondary Coverage Before Charging Patient For Preventive Services

Tip: Obtain a denial from Medicare so the claim can cross over.Myth: You can't bill for a preventive visit for a Medicare patient who's passed their first six months. Truth: Regular Medicare won't pay for a preventive examination except for the "Welcome to Medicare" exam for a new Medicare patient. But many Medicare patients may have other coverage that will pay for a preventive visit. "Once the six months have passed, offices feel they cannot report the preventive codes to Medicare because they will not be paid," says consultant Maxine Lewis, with Medical Coding Reimbursement Management in...

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