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Medicare Advantage Plans

  1. #1
    Default Medicare Advantage Plans
    Clearnace Sale
    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?

  2. #2
    Kansas City, MO
    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.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

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