In Billing
May 11th, 2017
Recognizing the U.S. Preventive Services Task Force’s updated recommendations for hepatitis B virus (HBV) screening, Medicare has added Part A and Part B coverage for HBV screening, effective Sept. 28, 2016. Naturally, there are conditions for coverage. Conditions for Coverage The screening must be performed using the appropriate FDA-approved laboratory test, used consistent with FDA-approved...
In Billing
Jan 13th, 2016
The U.S. Preventive Services Task Force published on January 12 a final recommendation statement on screening for breast cancer. Sticking with its 2015 draft recommendation, the Task Force confirmed that screening mammography is effective in reducing deaths due to breast cancer among women ages 40 to 74 years. The independent, volunteer panel of experts in evidence-based ...
Screening recommendations continue to change for cancers and osteoporosis in women. Preventive care has been a moving target in the past few years. The number of possible screening tests, who should be screened, how often, and with which test seem to change every few months. Here are the latest recommendations for women’s health screening tests ...
In Billing
May 18th, 2015
By Brad Ericson, MPC, CPC, COSC Federal officials clarified the rules on screening colonoscopies May 11 by telling providers not to charge patients for anesthesia provided during a screening colonoscopy.  The Department of Health and Human Services (HHS) made the declaration after patients complained of being charged hundreds of dollars for anesthesia while receiving the ...
In Coding
Jan 19th, 2015
Be careful not to apply initial preventive medicine codes (99381-99387) for established patients. A patient who has received any professional service from the provider within the past three years should be treated as an established patient, even if that patient has not previously received a preventive service from the provider. CPT Assistant (August 1997) clarifies: ...