Results 1 to 5 of 5

medicare

  1. Default medicare
    Medical Coding Books
    Could you help me with this please. Are medicare gyn exams paid for every year now. If so is there no longer need for abn and ga modifier? Medicare rules as of jan 1,2011 are somewhat confusing.
    Thanks

  2. #2
    Location
    Conway, South Carolina
    Posts
    37
    Default
    Attached is the MLN Matters Article stating what has to be included in the new Annual Wellness Visit and GYN stuff is not included in this material. This brings up a good point... sorry could not be of more help!

  3. #3
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    I have attached a link to a MLN matters and it does say that Pelvic exam/screenings are covered.

    http://www.cms.gov/MLNMattersArticle...ads/MM7012.pdf

    I'm not sure about the modifier though.
    AWest

  4. #4
    Default
    The NCD still states that Screening pap and pelvic are covered every two years. The MLN shows what services are covered but does not state a time frame. As far as the GA modifier you still need that if an ABN is signed.

  5. #5
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    There is anoter thread talking about this subject and others annual exams, its under new posts.

    The only other information I can find is the Transmittal:

    http://www.cms.gov/Transmittals/downloads/R739OTN.pdf

    and the Medicare website for patients says they are covered either every year or every two years, depending on the risk.

    http://www.medicare.gov/navigation/m...screening.aspx
    AWest

Similar Threads

  1. Medicare Annual Wellness and Welcome to Medicare visits
    By Borlickd in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 10-04-2013, 08:31 AM
  2. Replies: 1
    Last Post: 05-17-2012, 01:27 PM
  3. Replies: 1
    Last Post: 01-18-2011, 12:54 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.