tci Medicare Compliance & Reimbursement - 2013 Issue 10

Reimbursement: Boost Pay With These Savvy Tips

Preventive wellness visit coupled with significant other problem can qualify for two codes. For preventive wellness visits, you’ll normally assign a code from the 99381-99397 range. But if the patient brings up a health problem — and it’s documented properly — you may be able to list an additional code. Checkpoint: If the problem ranks as “significant,” you can report your work to address it in addition to the preventive care. This may take the form of a problem-oriented E/M code (e.g. 99201-99215), a procedural service, or both. Here’s how: If the patient&rsquo...

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