decisionhealth Newsletters, Part B News - 2018 Issue 7 (July)
Use eligibility tools to assess patients’ AWV history, get G0439 claims through
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Article Overview
This article focuses on Medicare annual wellness visit (AWV) claim review, with an emphasis on checking patient eligibility and prior preventive-service history before billing. It is aimed at coders, billers, and practice staff who handle Medicare preventive services and want to reduce denials by understanding the general documentation and claim-submission areas discussed in the article.
Why This Topic Matters
AWV claims can be denied when history, documentation, or claim requirements are incomplete or when prior preventive-service activity affects billing eligibility. The article highlights the practical importance of pre-bill verification and careful claim review for practices that submit Medicare AWV services.
Article Sections
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Coding
An overview of Medicare annual wellness visit claim concerns, including denial risk, eligibility review, and practice-level follow-up approaches.
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4 more tips to improve AWV claims
General billing and documentation topics related to AWV claims, including diagnosis reporting, same-day E/M services, and prolonged preventive service considerations.
What You Will Learn
- How the article frames Medicare annual wellness visit claim review and denial prevention
- What sources may be used to confirm prior preventive-service history
- Which broad documentation areas are discussed for AWV billing
- What general claim components are addressed for same-day and prolonged services
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Primary care practice administrators
- Medicare preventive-services staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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