Reimbursement depends on clearly determining why the patients coming to your office. The complementary yearly Medicare visits are tricky to get paid correctly because they require specific documented information to qualify for coverage. Many believe the Annual Wellness Visit (AWV) is simply a yearly physical, but that is not the case. When a Medicare patient ...
In Billing
Jan 12th, 2018
Your practitioners may be performing services for which they are neither being reimbursed nor receiving credit toward their quality reporting. You can help maximize their earning potential and receive credit where it’s due by pointing out these three separately payable services. Chronic Care Management Chronic conditions (e.g., Alzheimer’s disease, arthritis, asthma, cancer, depression, HIV, strok...
Q: “End-of-life planning, on agreement of the beneficiary” is listed as a requirement for Medicare’s Initial Preventive Physical Examination (IPPE). Does this mean that end-of-life planning is optional? What documentation is necessary to substantiate the service? A: The IPPE, or “Welcome to Medicare” visit, is a once-per-lifetime benefit, which must be provided within the first 12 months ...
By Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC A new category of evaluation and management (E/M) services was introduced in January. Chronic Care Management (CCM) services are provided to a patient who has two or more chronic conditions expected to last at least 12 months, or until the death of the patient. The conditions place ...
Dec 10th, 2013
The 2014 Medicare Physician Fee Schedule (MPFS) final rule, published in the Nov. 27 Federal Register, establishes preliminary guidelines for how physicians and other qualified healthcare professionals can receive separate payment for chronic care management (CCM) services furnished to Medicare patients beginning in 2015. The Centers for Medicare & Medicaid Services (CMS) first introduced CCM ...