“Preventive care is a cornerstone of family medicine. Routine visits for patients of all ages are scheduled to promote wellness and disease prevention. These visits can also include additional services, such as vaccinations, screening laboratory services, counseling and even management of medical problems.” –AAFP.Org
Preventative care is important. It’s life-saving. But I’ll just come right out and say it: Coding preventive medicine services can be a real pain in the A-S-...you get the idea. And what’s worse is that incorrectly coding these services can lead to lower reimbursement rates and even denials. That’s right! Money lost, gone, kaput! Preventive medicine codes vary by type of visit, the age of the patient, if the patient is new or established, and by the individual payer. Yet, the CPT® book guidelines often don’t match individual payer guidelines.
What’s even more confusing is that payers may not reimburse for every preventive service performed. Instead, they may only cover a portion of the services. And there are plenty of “oh, by the way,” patient scenarios that can lead to a problem-oriented service being evaluated on the same day as the preventive service.
But don’t worry, there’s light at the end of the tunnel.
Join me for our upcoming webinar, How to Crack Preventive Medicine Coding, where I’ll eliminate the coding confusion around preventive medicine services, and help you to understand how preventive medicine coding works, distinguish between wellness and a problem-services, and ensure your provider is getting paid correctly.