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Medicare Compliance & Reimbursement

Medicare Regulations:

Find Appropriate Payer Order

Published on Thu Feb 13, 2025

Question: One of our patients is 69 but their spouse is 63 and works for a mom-and-pop business with 16 other employees. Our 69-year-old patient has Medicare but also has coverage through their partner’s job. Do I submit a claim for an annual wellness visit (AWV) through Medicare or the other insurance? Iowa Subscriber Answer: If a patient has coverage [...]
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