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“Welcome to Medicare Visit” aka IPPE aka G0402

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Tag Archives: 90670

CPT CODE 90670 – Pneumococcal conjugate vaccine, 13 valent, for intramuscular use.

 

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“Welcome to Medicare Visit” aka IPPE aka G0402

Initial Preventative Physical Exam (IPPE) G0402 is know as the “Welcome to Medicare Visit” to most Medical Billers

What is a Welcome to Medicare visit and how do you bill for it?  Let’s see if I can help and explain and point you in the right direction to gather more information.

A patient who has just qualified for Medicare Part B is allowed this once in a lifetime benefit within the first 12 months of Medicare eligibility.  Medicare calls this exam the Initial Preventative Physical Exam or IPPE but it is more widely known as the “Welcome to Medicare Visit”. This is a great benefit that also includes several exams that are normally not covered. A properly trained front desk staff scheduling appropriate appointments is essential, for both your office and for your newly Medicare eligible patient, to properly utilize these once in a lifetime benefits.

The IPPE is designed for “health promotion and disease detection” per Medicare. The following requirements of the IPPE can found at the CMS website at: http://www.cms.gov/MLNProducts/downloads/MPS_QRI_IPPE001a.pdfContinue Reading

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly.

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Capture Billing is a Medical Billing Company based in South Riding Virginia.

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25055 Riding Plaza, Suite 160
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(703) 327-1800

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