• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Medicare Advantage Preventive/Mammogram same day

ddpruitt5211

Guest
Messages
4
Location
Danville, VA
Best answers
0
We bill our Medicare Advantage plans with the Preventive Care Codes (99387-99397 or other age appropriate codes) we also perform a Screening Mammogram on the same day. We have never used a modifier for these services. I had one of the plans request a refund on the past 2 years of services billed with the reason code being 024 (EM VISITS NOT ALLOWED WITHOUT THE APPROPRIATE MODIFIER) is anyone else having this problem. I do not have any other plans that I am having this problem with and can not find information on the Medicare website since Preventive Care is a non covered service with them.
 
United Healthcare does this for all kinds of services. The screening mammo has a global of XXX so they want mod 25 attached to the e/m if appropriate.
 
Top