decisionhealth Newsletters, Part B News - 2014 Issue 12 (December)
Fewer claims billed but more denials for initial AWVs in 2013 than 2011, 2012
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Article Overview
This article summarizes Medicare data on annual wellness visit billing trends across 2011 through 2013. It is relevant to coders, compliance staff, and practice managers who track preventive service utilization, claim denial patterns, and Medicare reporting trends. The discussion focuses on overall claim volume, denial-rate comparisons, and broader pattern changes for annual wellness visits over time.
Why This Topic Matters
Understanding claim-volume and denial trends for annual wellness visits can help practices monitor billing patterns, identify potential administrative issues, and compare their performance against Medicare-wide experience.
Article Sections
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Benchmark of the week
This section presents a Medicare data snapshot on annual wellness visit billing and denial patterns over multiple years. It compares overall trends in initial and subsequent service utilization without providing operational coding guidance.
What You Will Learn
- How Medicare billing volume for annual wellness visits changed over time
- How denial patterns differed between initial and subsequent annual wellness visits
- What broad utilization trends were observed across the reported years
- How benchmark data can be used to monitor preventive service billing patterns
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
Codes Discussed
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