awv

  1. M

    Wiki AWV and Prev code for MA plan

    Hi there, can someone please point me in the right direction on how to properly educate a medical director regarding the use of G0438/G0439 and a 9938X code on a same day visit. I believe there are very specific points of documentation that must exist in order to satisfy the submission of both...
  2. G

    Wiki AWV vs Preventive vs E&M

    We are having a difference of opinion between coders and billers, Coder coded as 99397.GY No HPI Missing updated written screening schedule 5-10yrs Visit qualified as preventive and preventive 99397 is not covered by Medicare Biller wants code changed to 99214 as provider refilled RX looked at...
    • Greenpiper
    • Thread
    • awv e/m preventive
    • Replies: 3
    • Forum: E/M
  3. F

    Wiki Annual Wellness visits at FQHC and RNs

    Can RN's perform a majority or part of the AWV as long as the provider approves of the screening and education pieces, and also sees the patient? Any advice on how to implement Annual Wellness Visits in our practice without requiring an hour of the provider's time?
  4. R

    Wiki Primary Care - Annual Wellness Visits

    Hello all! Would someone mind sharing input on their experiences of additional services that can be billed (and be paid for) the same day as the annual wellness visits? With Medicare, I know that transitional care services can be billed separately if performed. One of our providers has tried...
  5. J

    Wiki Medicare Annual Wellness Visit and additional Well Woman Exam

    Hello, fellow coders: One of my providers performed an AWV and a separate well woman exam on two different dates of service. Since both were preventive, triggering use of G0468 (we're an FQHC), Medicare paid the first well woman visit, but denied the AWV. My billing manager wants the...
  6. kfrycpc

    Wiki AWV and IPPE

    This question is two fold and I need fresh opinions: We have a long standing issue in our office. When a physician bills a preventive visit for a Medicare pt, it has to be either an IPPE or AWV. 1. When the Dr bills a regular preventive and bills a 99396....we cannot convert the code to...
  7. J

    Wiki AWV and Consult on same day.

    Hi, Can an AWV G0438/G0439 (either initial or subsuquent) be reported with an outpatient consultation (99241-99245) on the same day? I checked the 10/1/16 CCI edits and these coding combinations are not present. [I am compiling documentation of preventative services for physicians to reference...
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