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Preventive visits?

  1. Default Preventive visits?
    Exam Training Packages
    Hello to All,
    I have been told that some COMMERCIAL INSURANCES will pay PREVENTIVE VISITS more than ONCE A YEAR for example CIGNA their PRACTICE got PAID-TWICE PER YEAR-.
    To my understanding these PREVENTIVE VISITS CAN ONLY BE USED-ONCE A YEAR- and if so that this is the case where could I get these GUIDELINES?

    HELP!!!

  2. #2
    Default
    You would have to query each insurance company. Not sure that a preventative visit would be appropriate more then once per year. The second would be an E/M follow-up visit. Just thinking???

  3. #3
    Default
    Quote Originally Posted by veloso View Post
    Hello to All,
    I have been told that some COMMERCIAL INSURANCES will pay PREVENTIVE VISITS more than ONCE A YEAR for example CIGNA their PRACTICE got PAID-TWICE PER YEAR-.
    To my understanding these PREVENTIVE VISITS CAN ONLY BE USED-ONCE A YEAR- and if so that this is the case where could I get these GUIDELINES?

    HELP!!!
    See: https://s-secure.cigna.com/portal/he...Guidelines.pdf

  4. #4
    Default Well child or well adult
    Quote Originally Posted by btadlock1 View Post
    I just had a thought... Are we talking well child visits or well adult visits. I know well child visits from birth to a certain age a child is to have several based on a schedule.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  5. #5
    Default
    Quote Originally Posted by rthames052006 View Post
    I just had a thought... Are we talking well child visits or well adult visits. I know well child visits from birth to a certain age a child is to have several based on a schedule.
    There's always the possibility that the people who got paid for multiple visits had coded their claims incorrectly, too. I wouldn't trust anything that I didn't see with my own two eyes...

  6. #6
    Cool
    I work for a health insurance company, and we have situations where we allow two preventive exams per year. Our commercial products allow females one general routine exam and one routine gyn exam per calendar year, and there is no limit on preventive exams for children under the age of two. As stated in the previous posting, you should check with the insurance company. Preventive care guidelines for insurance companies have changed with the passage of health care reform.

  7. Default
    A BIG THANKS TO ALL;

    But is there a specific website that I could go. I'm a Medical Coder in an Adult Clinic and I worked as part-time for an Adult and Pediatrics as a Medical Coder and as a Medical Biller as well...
    IM

  8. Default
    A Big Thanks to ALL;
    But is there a website where I could go and by way I'm a Medical Coder in an Adult Clinic and I'm a Medical Coder and Biller in an Adult and Pediatrics as well.

    IM

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