Wiki Medicare Advantage Plans

[seniar]

When billing for well woman exams we bill 9938x/9939x for commercial carriers and also G0101 and Q0091 for Medicare patients (we have Medicare patients sign an ABN for the 9938x/9939x and subtract the cost of the G/Q code from the wwe cost). When a patient purchases a Medicare Replacement Plan, do we treat it is a commercial carrier or do we still only bill the Medicare codes? It is required to obtain ABN's for Medicare Replacement Plans?

 

[amjordan]

I would recommend checking with the specific plans you participate with to get clarification. It has be our experience that the plans we participate with want us to bill the 99387/99397. However, there is always that exception, so it's best to check first.