Coding and Billing for Medicare Preventive Services

Format: On-Demand Webinar
Presenter: Shellie Sulzberger, LPN, CPC, ICDCT-CM
Duration: 60 minutes


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Course Description

During this webinar, we will discuss preventive services for Medicare. We will go through the coding and billing requirements for the Welcome to Medicare Exam (IPPE), Medicare Annual Wellness Exam, Initial, Medicare Annual Wellness Exam, Subsequent and Screening Pelvic, and Breast exam. During this webinar, we will also outline some examples of bundled sets for Long-Acting Reversible Contraceptive (LARC). We find that creating bundle sets allows the providers to be able to capture all the codes in one bundle set in lieu of trying to capture each one and taking a chance on missing one or more of the items for billing.

Learning Objectives:

  • The participants will understand the documentation and coding requirements for the Welcome to Medicare Exam.
  • The participants will understand the documentation and coding requirements for the Annual Wellness Visit.
  • The participants will understand the documentation and coding requirements for the Medicare Breast and Pelvic Exam.
  • The participants will learn some ideas for creating bundle sets for LARC

Areas Covered in the Session:

  • Medicare IPPE (Welcome to Medicare)
  • Medicare AWV
  • Screening Pelvic and Breast exam

Suggested Attendees:

  • Coding
  • Billing
  • Providers

About the Presenter:

Ms. Sulzberger is a Licensed Practical Nurse and a Certified Professional Coder. She received her Bachelor of Science degree in Business Administration from Mid America Nazarene University. Ms. Sulzberger received her nursing license in 1994 and was a practicing clinician at Saint Luke’s Health System for several years before transferring to the internal compliance/audit area. She became credentialed as a Certified Professional Coder in 1996 and assisted the Saint Luke’s Health System with performing medical record chart audits to verify the accuracy of the internal coding and claims processing.

Ms. Sulzberger spent approximately six years as a coding/billing consultant with National accounting and consulting firms (BKD, Grant Thornton) before becoming the President of Coding & Compliance Initiatives, Inc. (CCI) in April 2003. Ms. Sulzberger assists her clients with improving their operational performance in a variety of critical outcome areas, including coding/billing, corporate compliance, charge capture processes, etc. Ms. Sulzberger works with a variety of health care providers including hospitals, physician practices, and rural health clinics in their daily compliance and operational activities.

A substantial amount of Shellie’s time is spent providing education to the physicians and internal coding staff regarding opportunities for the clinic to improve its current documentation and coding practices, which impact both the revenue and compliance risk of the facility.

Shellie works extensively with federally qualified health centers across the country (along with physician practices, rural health clinics, and hospitals) serving as an independent auditor and compliance resource to improve documentation quality, coding accuracy, workflow, and revenue cycle performance. She works collaboratively with the National Association of Community Health Centers (NACHC) and State Primary Care Associations (PCA).

She assists legal counsel with research, investigation, and her expert opinion. She also provides clinical education in the areas of patient management and medical record documentation. She attends many physicians and other staff meetings to offer updates and to act as a liaison for the health care provider.

Ms. Sulzberger presents locally and nationally on coding topics as well as develops specialized training programs to meet the needs of her clients.

Shellie works with the front office and back-office revenue cycle team members, focusing on education regarding E/M and ICD-10 coding and billing guidelines and coding/billing-related processes that improve compliance and cash flow. She emphasizes communication between the billing team and the providers and clinicians about the “downstream” impacts of incorrect coding.

Shellie personally works with 10+ health centers annually regarding documentation, coding, and billing processes and serves as an educational resource for several State PCA’s every year.

Shellie is credentialed through the American Institute of Healthcare Compliance as a Certified ICD-10 Trainer.

Professional Affiliations

  • American Academy of Professional Coders (AAPC)
  • Greater Kansas City Medical Managers Association (GKCMMA)

Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to the below contact: Toll-Free No: 1-302-444-0162 Email:

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