decisionhealth Newsletters, Part B News - 2012 Issue 6 (June)
3 tips to keep getting paid for AWVs when patients don’t cooperate
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Article Overview
This article explains common operational and compliance issues that can arise when billing Medicare annual wellness visits (AWVs), especially when patients do not complete required paperwork or follow through with recommended preventive steps. It is aimed at coders, billers, compliance staff, and primary care practices seeking to understand general AWV payment risk, documentation expectations, and audit considerations.
Why This Topic Matters
AWVs are an important preventive service for Medicare practices, and small documentation gaps or patient-related obstacles can affect reimbursement. The article helps readers understand the kinds of workflow and compliance issues that practices may encounter when trying to keep AWV claims payable.
What You Will Learn
- Common patient-related barriers that can affect AWV billing
- General documentation considerations for AWV compliance
- How AWV follow-up and preventive planning are discussed in a billing context
- Why AWV denials and audits are presented as a concern for practices
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Primary care practices
- Family medicine practices
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