tci Part B Insider - 2007 Issue 31

Part B Coding Coach: Master Colonoscopy Screening Requirements or Pay the Price

Keep this list of high-risk diagnoses close at handYou have to know all the basics of Medicare's screening policy for patients who present to your physician for a colorectal cancer screening colonoscopy--or you could face a denial. Our experts highlight age and frequency requirements for an average-risk Medicare-approved screening, but watch out: The guidelines only get more stringent when you-re coding for a high-risk screening.Remember: If your physician provides a colorectal cancer screening to a Medicare patient who   does not meet screening parameters, the practice will have to cover the screening. Attack Requirements for Average-Risk Patients...

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