decisionhealth Newsletters, Part B News - 2012 Issue 9 (September)
Avoid AWV confusion, wasted money; learn when to bill initial visits
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare annual wellness visit billing, including common points of confusion between initial and subsequent wellness visits and the related preventive exam history that can affect claim selection. It is aimed at coders, billers, revenue cycle staff, and clinicians who need to verify prior utilization through Medicare contractors or portals and understand general denial-response workflows.
Why This Topic Matters
Getting the wellness visit type wrong can affect reimbursement and create avoidable denials or underpayment. The article helps readers understand why verifying prior Medicare wellness visit history matters and what broad sources of information practices may use.
Article Sections
-
Revenue cycle management
Introductory discussion of billing oversight and reimbursement impact for Medicare wellness visits.
-
Initial vs. subsequent AWV mix-up
Overview of the main reasons practices may confuse the two types of annual wellness visit claims and related terminology.
-
Steps to AWV billing accuracy
General guidance on verifying prior visit history, checking payer tools, and handling rejected claims at a high level.
What You Will Learn
- How this Medicare wellness visit topic fits into revenue cycle management
- Why prior visit history verification is important before submitting a wellness visit claim
- What broad sources practices may use to check Medicare wellness visit history
- What general types of claim reprocessing scenarios can arise after a denial
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Physician practice administrators
- Primary care practices
- Compliance staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com