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tci Part B Insider - 2011 Issue 28
Part B Mythbuster: Don't Forget to Check Secondary Coverage When Reporting Preventive Exams
Tip: Obtain Medicare denial so the claim can cross over.Myth: You can't bill for a preventive visit for a Medicare patient beyond what's included in the "Welcome to Medicare" (WTM) exam or the "Annual Wellness Visit" (AWV).Truth: Regular Medicare won't pay for a preventive examination except for the WTM exam for a new Medicare patient, as well as an annual AWV--which, as you've probably been explaining to patients all year, is not a head-to-toe physical. But many Medicare patients may have other coverage that will pay for a full preventive visit.Many offices treating part B patients...
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