Affordable Care Act & Preventive Services

January 9th, 2012

The first of the year is the time most providers are challenged by huge first of the year expenses and slow downs in cash flow because of deductibles.

As mentioned before, it's the perfect time to focus on preventive services.  The Affordable Care Act requires that most NEW private insurance policies offer certain preventive services to patients without any cost share.

Cigna has published a very good Guide to Preventive Services that can be used as a blue print for most private insurance plans.  Each company has slight nuances, but this is a very good place to start.

Tags: Preventive Services, Modifier 33, Cigna


A. Redding: Why won't Medicare tell me the exact CPT and ICD-9 code to be used for the preventive care services. My provider is so tired of Medicare "games" He's thinking about dropping it. I wish he would, I'm tired of bullying by 65+ yo who thinks they can speak rudely to anyone because of their age. I've been doing this job for 18 years and it's getting worse. Updates do not provide the needed info and purchasing CPT/ICD-9 books don't either. So disappointed.

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