Lunch and Learn
Updated for 2019
We received this question from one of our members:
“We have a medicare patient for whom we provided a pelvic and a breast exam and a pap smear. We submitted it to Medicare and it got denied. Can you tell me why?”
Medicare doesn’t pay for “routine services”, but they do pay for certain screening test. This short video reviews the Medicare requirements and coding for screening pelvic and breast exams and pap smears (G0101 and Q0091) as well as what to bill if the patient presents with abnormal signs and symptoms.
The printable companion resource will be a helpful cheat sheet for providers, coders and auditors.
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diagnostic, Medicare, preventive services