Package Description

Title: Reporting Preventive vs Problem Oriented Services for RHCs and FQHCs

Presenter: John Burns, CPC, CPMA, CEMC

CEU Type Requested: Live or Recorded events: Live Web-Based Trainings

Number of CEUs Requested: 1 CEU

Effective Dates: April 1, 2023- April 30, 2024

10 Questions (without rationale) are provided with this application. The times described below are approximations and may vary by audience

Agenda and Outline:

• Introductions and general comments and definitions [5 minutes]
• Preventive service definitions per CPT® (Preventive Medicine vs Problem Oriented) [10 min]
• Medicare (CMS) Approved Preventive Medicine Services (IPPE, AWV, Pelvic/Clinical Breast exam) [20 min]
  • Patient cost sharing (deductible and coinsurance considerations for RHCs/FQHCs)
  • Medicare preventive service charts
  • CPT® level I codes versus HCPCS level II codes (e.g., G0402, G0438-9, G0101, Q0091)
• When to document a preventive and problem-oriented visit on the same date, per CPT® [10 min]
• Case study review [10 min]
• Question and answer session (as time permits)