tci Part B Insider - 2005 Issue 20

Part B Coding Coach: Document Diabetes Risk Factors - Or Risk Losing Deserved Payment

Recoup up to $17 for diabetes screening testIf your physician isn't documenting specified risk factors and coding one of three specified glucose tests with the diabetes screening V code when he performs diabetes screening, his claim could come back negative - for payment, that is.Important: As the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) requires, Medicare began paying for most diabetes screenings (82947, 82950, 82951) as of Jan. 1, 2005. In the past, Medicare did not reimburse physicians for diabetes screenings.CMS will reimburse "diabetes screening tests at the same amounts paid for these tests...

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