tci Part B Insider - 2013 Issue 7

Annual Wellness Visits: CMS Begins Recouping Overpayments Made for AWVs

When both the facility and the doctor bill for the same service, Medicare ends up double-paying. You may have been overpaid for annual wellness visits without even knowing it, but your MAC could come calling for a refund soon, if a recent CMS Transmittal is any indication. When CMS established the annual wellness visit (AWV) codes G0438 and G0439, the agency noted that it would accept claims from facilities furnishing the service, or from physicians performing it. Unfortunately, however, that information was misinterpreted by some providers, so when AWVs were performed by physicians in the facility setting, both the...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.