Compliance: Master AWVs With Tips from the Experts

Why This Topic Matters

AWVs are frequently reviewed by Medicare contractors, and incomplete documentation can place claims at risk. Understanding the article helps practices support reimbursement, reduce denials, and align records with audit expectations.

Article Sections

1. Don’t Forget the AWV Timeline

   Reviews Medicare timing and eligibility considerations for annual wellness visits. Also discusses the relationship between initial and subsequent AWV reporting.

2. Always Document Scheduled Screenings

   Describes the need for screening history and future screening planning in AWV documentation. Notes how these records may be evaluated during Medicare audit activity.

3. Maintain Cognitive Function Assessment

   Covers documentation expectations for cognitive assessment and related history elements. Emphasizes the role of family, medical, and surgical history in the record.

4. Always Maintain List of Providers, Suppliers

   Addresses documentation of other clinicians and suppliers involved in the beneficiary’s care. Focuses on maintaining a current care-team record for review.

5. Be Sure to Record Functional Ability

   Summarizes the need to document functional status and safety-related observations. Includes broad areas commonly assessed during the visit.

6. Targeted Probe and Educate review note

   Mentions a resumption of claim review activity and explains that AWVs may be subject to additional scrutiny. Provides context for why documentation accuracy remains important.