tci Part B Insider - 2016 Issue 1

Part B Coding Coach: 4 Tips Help You Claim Colorectal Cancer Screening Payment

Look out for screening tests that are not covered for payment. Billing colorectal cancer screenings for asymptomatic patients is a challenge for many gastroenterology practices because each state Medicare carrier may have its own rules concerning how to bill for these procedures. Although Medicare coverage of various colorectal cancer screening examinations is payable, you need to be precise using ICD-10 and HCPCS codes to maximize reimbursement. Tick off all items in this checklist before submitting the claim for colorectal screening and see your physician get his deserved reimbursement. Item #1: Justify Patient Risk Status With Supported Diagnostic Codes Although...

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