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5598Re: [MedicalBillers] Re: Medicare denials

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  • Halbert
    Sep 4, 2011
      If the patients have Medicare primary and then a secondary like AARP or BCBS will the secondary still pay for the G codes??

      From: Melinda <melindadocsmith@...>
      To: MedicalBillers@yahoogroups.com
      Sent: Tuesday, August 30, 2011 2:10 PM
      Subject: [MedicalBillers] Re: Medicare denials

      In addition to what was already said...

      Medicare does pay for the IPPE (Welcome to Medicare) - G0402 and now pays for the AWV (see below)

      Annual Wellness Visit (AWV) - This is a new benefit beginning for dates of service on and after 01/01/11

      G0438 – First visit
      G0439 – Subsequent visit

      No specific diagnosis code
      Contact the local Medicare Contractor for guidance

      Who is covered: All Medicare beneficiaries who are no longer within 12 months after the effective date of their first Medicare Part B coverage period and who have not received an IPPE or AWV within the past 12 months

      Frequency: Once in a lifetime for G0438, Annually for G0439

      Beneficiary pays:
      Prior to 01/01/11: N/A
      On or after 01/01/11: Copayment/coinsurance waived, Deductible waived


      Melinda Brown, CMBS
      Ins Biller

      --- In MedicalBillers@yahoogroups.com, Halbert <halberts1@...> wrote:
      > Ok so Medicare and I aren't friends apparently. I'm getting alot of them back with Non-Covered Charges.  I billed for Preventative 99387 with V70.0. Where am I going wrong???
      > Thanks
      > Christy
      > [Non-text portions of this message have been removed]

      [Non-text portions of this message have been removed]
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