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Billing for Preventive Services

Billing for Preventive Services


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Unfortunately, three factors complicate billing for preventive medicine services. Clinicians are not sure what is included in the definition of the service and what can be billed separately. Insurers do not process the claims consistently, and it is difficult for a practice to know the wellness coverage for each patient. Further, Medicare’s policy is not to cover routine care, but it does cover many screening services. These three factors transform the simple to the complex. Let’s take a look at each of these three areas.