tci Medicare Compliance & Reimbursement - 2005 Issue 13

DRUG COVERAGE: MMA Steps Up Screening Test Coverage

But Medicare wants a V code, not a G code, when reporting a screening.Physicians now have a new tool in the battle to keep patients heart-healthy.The Medicare Modernization Act (MMA) provided coverage for cardiovascular screening blood tests that will help detect cardiovascular disease and its associated abnormalities. "The new benefit permits Medicare beneficiaries who have not been previously diagnosed with cardiovascular disease to receive a screening for the disease's risk factors - including individuals who have no prior history of heart problems," explains Annette Grady, a senior health care consultant with Eide Bailly in Bismarck...

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