Recovery Audit Contractors: Expect Heightened Scrutiny on AWV and IPPE Blunders in 2020

Why This Topic Matters

Preventive visit coding under Medicare is a frequent source of denials and audit activity. Understanding the article helps practices recognize why these claims draw attention and what broad Medicare guidance is being referenced.

Article Sections

1. Background

   Introduces the Medicare preventive visit topic and explains why these services are receiving renewed audit attention. Summarizes the general types of claim issues being reviewed by recovery audit contractors.

2. Know the Code Distinctions to Avoid the Problem

   Discusses the broader need to distinguish between different Medicare preventive visit categories and references timing and eligibility guidance from Medicare sources. Also notes the importance of payer policy review and documentation alignment.