BC Advantage - 2011 Issue 3

Auditing Medicare's New Annual Wellness Visits

The Patient Protection and Affordable Care Act (PPACA) of 2010 added a new benefit for Medicare beneficiaries referred to as Annual Wellness Visits (AWV); HCPCS code G0438 for the initial visit and G0439 for each subsequent annual visit. The initial AWV is similar to the current "Welcome to Medicare Visit", also called the Initial Preventive Physical Examination (IPPE). Beneficiaries who are newly enrolled in Medicare are still only eligible for the "Welcome to Medicare Visit" in the first year of their Medicare enrollment and not the new initial AWV.  A Medicare beneficiary is eligible for the initial AWV...

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