Category Archives for How to Bill Medicare

Medicare Modifiers XE, XP, XS, XU: Examples of When to Bill Each One

January 1, 2015, CMS will officially roll out four new HCPCS modifiers that can be used when billing Medicare claims. Dubbed the –X{EPSU} subset, they may or may not be used instead of modifier 59. This post has a few examples of when you might use each of these new modifiers. Leave a comment on how your office uses the new modifiers.

Filed Under: How to Bill Medicare, Medical Billing and Coding Topics

Q&A: Am I Just Dealing with a Coding Department that is Ignorant?

Mark asks if his doctor coded his full routine physical exam properly using CPT code 99397, which is not covered by Medicare, or if the doctor should have used the Annual Wellness Visit code, G0438 (or G0439), which is covered by Medicare. What’s the difference? Which code does Medicare pay?

Filed Under: Annual Wellness Visit Tips, How to Bill Medicare, Medical Billing and Coding Topics

Medicare G0438 – G0439: Two Annual Wellness Visit Codes

Medicare provides coverage for Annual Wellness Visits. This benefit was included in the Affordable Care Act of 2010. Medicare has come up with two HCPCS codes for these well visits for medical billing purposes. The codes are G0438 and G0439.

Filed Under: Annual Wellness Visit Tips, Featured Blog Posts, Featured Doctor Media, Featured Manager Media, Featured Medical Billing Articles, How to Bill Medicare, Medical Billing and Coding Topics, Medicare Billing Tips