MEMBERACCT1
New
Medicare Advantage Plans used preventive visits as a “plug” to entice beneficiaries to pick that plan over traditional Medicare.
Question: Can the beneficiary get the 99397 visit along with the billing for G0402/G0438 or G0439 (i.e. 99397 (25) G Code)? Or does the 99397 must contain the criteria for the G visit within the note?
Question: If a beneficiary (traditional Medicare) wants a head to toe examination, is it alright (ethical) to bill the G Wellness Visit and a 99397 (with a ABN signed that Medicare does not pay for physicals?) Or if the components of the G code must be priced separately and subtracted from the fee charged for the 99397?
Thank you in advance if you can direct me to a reference (resource) to address such questions.
Jacqueline Bloink MBA, CHC, CPC-I, CPC, CMRS Tucson AZ
Question: Can the beneficiary get the 99397 visit along with the billing for G0402/G0438 or G0439 (i.e. 99397 (25) G Code)? Or does the 99397 must contain the criteria for the G visit within the note?
Question: If a beneficiary (traditional Medicare) wants a head to toe examination, is it alright (ethical) to bill the G Wellness Visit and a 99397 (with a ABN signed that Medicare does not pay for physicals?) Or if the components of the G code must be priced separately and subtracted from the fee charged for the 99397?
Thank you in advance if you can direct me to a reference (resource) to address such questions.
Jacqueline Bloink MBA, CHC, CPC-I, CPC, CMRS Tucson AZ