Advanced Search

Medicare Compliance & Reimbursement

Medicare Part B:

Annual Wellness Visits: G0438-G0439: MACs Share Additional Information About AWVs

Published on Fri Feb 25, 2011

Hint: You can perform AWVs on new patients. Part B practices looking for answers about the new annual wellness visit (AWV) services that Medicare allows this year have come up short, with CMS still waiting to release more comprehensive coding guidance on the matter than the MLN Matters article that the agency issued months ago. But MACs have continued to share answers to the frequently-asked questions that they've received on the topic, and we've got a few of the answers to help you ensure that your G0438-G0439 claims process smoothly. Question 1: Can we collect for an AWV that we perform on a patient we've never treated before? Answer: Absolutely. "There is no regulation the patient has to be established," WPS Medicare notes on its Web site. The MAC, which is a Part B payer in four states, indicates that if the patient had an AWV at another practice during [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All