Auditing Medicare's New Annual Wellness Visits

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the Medicare Annual Wellness Visit benefit and the documentation auditors should review when evaluating whether the service is supported in the medical record. It is aimed at auditors, coders, compliance staff, and providers who need a practical overview of the visit’s general requirements, supporting tools, and billing considerations when another medically necessary service is furnished in the same encounter.

Why This Topic Matters

Understanding the scope of the Annual Wellness Visit helps organizations evaluate records consistently, support compliant billing, and recognize when documentation is expected to come from screening tools or questionnaires.

What You Will Learn

  • The general purpose and structure of Medicare’s Annual Wellness Visit benefit
  • What categories of documentation are expected for audit review
  • How screening tools and questionnaires fit into the supporting record
  • General billing context when an Annual Wellness Visit and another service occur in the same encounter

Who Should Read This

  • Medical auditors
  • Coders
  • Compliance staff
  • Physicians and other providers
  • Practice managers

Codes Discussed

Modifiers Discussed


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