Streamlining Your Healthcare Billing: Avoid Payment Headaches with These Tips (Health & Beauty - Health Insurance)

Item ID 2652616 in Category: Health & Beauty - Health Insurance

Streamlining Your Healthcare Billing: Avoid Payment Headaches with These Tips


This article tackles common billing mistakes for four healthcare services that can cause trouble for physicians. Here's how to ensure accurate billing and minimize payment issues:

1. Annual Wellness Visits vs. Physicals: Understanding Medicare Requirements

Differentiating between Annual Wellness Visits (AWVs) and Initial Preventive Physical Exams (IPPEs) is key. Both are covered by Medicare for preventive care, but have crucial differences:

Know the Requirements: Familiarize yourself with the specific criteria for each service.
Billing the IPPE: Bill the IPPE, or "Welcome to Medicare exam," only once within 12 months of a patient's Part B enrollment.
Billing the AWV: After the initial 12 months, bill an AWV every 11 months for subsequent annual visits. Both AWV and IPPE require complete documentation of all performed components.
Don't Double Bill: Don't bill for both AWV and IPPE during the same 12-month period. If a patient requires a visit in between, use another appropriate service code.

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Target State: California
Target City : Glendale
Last Update : Jun 12, 2024 9:45 AM
Number of Views: 111
Item  Owner  : Albert Brown
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Contact Phone: +1 08668542714

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