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Company << News & Events << Newsletters << Coding & Compliance Newsletter - January 2008

Coding & Compliance Newsletter - January 2008

January 2008 News

  
Understanding The “Welcome To Medicare” Physical

The initial Preventive Physical Exam (IPPE) is a preventive evaluation and management service that consists of seven components. The goals of the IPPE are health promotion and disease detection.  All seven components of the IPPE, including the screening EKG, must be provided prior to submitting claims for the IPPE visit.

Seven Components of the IPPE:

 Acquire Patient History

1.       Review of individual’s medical and social history

2.       Review of individual’s potential (Risk Factors) for depression, and other mood disorders

3.       Review of individual's functional ability and level of safety: i.e. hearing impairment

 Begin Physical Exam

4.       Physical Exam - obtain the following: height, weight, blood pressure, and visual acuity screen.

·          IPPE HCPCS code: G0344

5.       Performance and Interpretation of an EKG

·          IPPE HCPCS code: G0366:  EKG interpretation and report
·          IPPE HCPCS code: G0367: Tracing only
·          IPPE HCPCS code: G0368: Interpretation and report only

 Counsel Patient

6.       Education, counseling and referral based on the previous five components

7.       Education, counseling and referral for other preventive services: i.e. screening mammography, prostate cancer screening, colorectal cancer screening

People who are at risk for abdominal aortic aneurysms (AAA) can receive a referral for a one time ultrasound screening as part of their IPPE.

Additional information for billing Medicare Preventive Services can be obtained on the CMS website at: http://www.cms.hhs.gov/MLNProducts

If you need any additional information on this article or Coding & Compliance services please contact Cindy Tipton at Cindy_Tipton@MED3000.com

For a printable version, click:  CCNewsletterJanuary2008

Click here, if you would like to subscribe to this monthly MED3OOO e-communication newsletter.   

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