As part of the Medicare Modernization Act (MMA), Medicare beneficiaries whose Part B coverage began after Jan. 1, 2005, are eligible for one initial preventive exam that must take place within the first six months after the effective date of their coverage. Read more on the CMS website.
Resources and Links
Beneficiary Notices Initiative Website
National Correct Coding Initiative Edits Website
CMS Legislative Summary of H.R. 1, Medicare Modernization Act (MMA) of 2003, Subtitle B, Section 611: Coverage of an Initial Preventive Physical Examination
Washington Publishing Company (WPC) Code Lists - WPC assists in the maintenance and distribution of HIPAA-related code lists that are external to the X12 family of standards.