tci Part B Insider - 2011 Issue 11

AWV News: Part B MACs Currently Holding Annual Wellness Visit Claims Billed on Certain Types of Bills

Submit AWV claims on type of bill (TOB) 12X or 13X and you won't collect until April 4.If you submitted claims for your practitioner's annual wellness visits (G0438 and G0439) but the check isn't yet in the mail, your claims are probably held up due to a Medicare processing glitch.On March 11, CMS distributed an announcement that said, "Please note that current editing prevents the billing of G0438 and G0439 if they are the only services on the claim. Claims containing the Annual Wellness Visit (AWV) along with other services are processing but the AWV service is...

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