tci Part B Insider - 2011 Issue 4

Annual Wellness Visits: G0438-G0439: Find Out What the MACs Are Saying About the New AWV Codes

Tip: Don't get discouraged if your claims were denied--many carriers are reprocessing.Less than a year ago, practices got the good news that Medicare will cover an annual wellness visit (AWV) for Part B beneficiaries effective Jan. 1. Last month, CMS announced the new codes for the AWVs, and it looked like processes were working smoothly -- until it came time for claims submissions. Then the denials began to arrive, puzzling practices that submitted what they thought were clean claims.The MACs may have hit a few speedbumps while processing the first of the AWV claims, but are attempting...

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