Use of initial AWVs keep going down — but denial rates keep going up

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This piece looks at Medicare Part B annual wellness visit trends, focusing on changes in utilization and denial rates over time for initial and subsequent services. It is relevant for coders, billing staff, and practices that report preventive visit services, especially those tracking payer denials and specialty-level billing patterns. The article also discusses broad reasons denials may occur and compares performance across major specialties.

Why This Topic Matters

Understanding denial trends for preventive visit reporting can help practices monitor access, billing patterns, and revenue risk. The article provides context for why some organizations may be seeing lower use of initial wellness visits and higher denial activity, while also highlighting specialty-level differences.

What You Will Learn

  • How annual wellness visit utilization has changed over time
  • How denial trends differ between initial and subsequent wellness visits
  • Which specialties account for most annual wellness visit claims
  • How specialty-level denial patterns compare at a high level

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Revenue cycle professionals
  • Primary care practices

Codes Discussed


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