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Annual Wellness Visits: How to Plan for this New Benefit for Medicare Patients

Annual Wellness Visits: How to Plan for this New Benefit for Medicare Patients


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Betsy Nicoletti

Excited about being able to finally get paid for a physical exam for Medicare patients? Well, wait before you pop the cork on the champagne bottle. Preventive medicine codes remain a non-covered service. Bill with CPT® codes 99387 or any code in the 99381--99397 series of codes and the claim will be denied as routine. Instead, Medicare has developed HCPCS codes to define Annual Wellness Visits.

Tune into this audio conference to hear about:

  • The once in a lifetime Welcome to Medicare visit. This is the only service your patient is eligible for during their first year on Medicare
  • The required components of the Initial and Subsequent Annual Wellness Visits (AWV)
  • What type of written plan is required at the end of the visits
  • When a patient is eligible for the Welcome to Medicare visit and the Annual Wellness Visits
  • What CMS has to say about billing an E/M service on the same day as the wellness visit
  • What your practice will get paid from Medicare
  • Patient co-pays and deductibles for this service, and for other, covered Medicare services
  • What HCPCS codes to use to report these services
  • Patients have heard about this benefit in the lay press and will be expecting to receive the service. Now is the time to put together a clear plan for your practice. For only 90-minutes you will hear practical tips about how to schedule these visits, how to identify patients who are eligible to receive them and what needs to be documented in order to be paid for the service.

    Meet Our Expert Speaker:

    Betsy Nicoletti , MS, CPC, is the Founder of Codapedia.com, a website which is dedicated to providing free coding and reimbursement information for physician practices. She is also the author of the Physician Auditing Workbook, published by DecisionHealth and The Field Guide to Physician Coding, 2nd edition that was just published in October, 2010 by Greenbranch Publishing.

    Betsy speaks nationally on coding education and compliance. In addition to writing and speaking, Betsy educates physicians and coders and helps practices with complying with government regulations while collecting all of the reimbursement they are entitled to collect. Her consulting firm is Medical Practice Consulting.

    Moderator: Nancy Collins, Publisher of The Journal of Medical Practice Management®