Claims payment for this Medicare benefit is all in the timing. Medicare established two codes for billing and reimbursement of an annual wellness visit (AWV), effective for services provided on or after January 1, 2011. There are two types of AWVs: an initial visit and a subsequent visit. The initial AWV is a once-in-a-lifetime benefit, ...
In Audit
Dec 14th, 2012
By Jacqueline Nash Bloink, MBA, CPC-I, CHC There are three types of wellness visits, each of which has different requirements. To know if you are being compliant with requirements and coding correctly, know what each entails: 1. Initial Preventive Physical Examination (IPPE) or the “welcome to Medicare preventive visit” – use code G0402 Initial preventive ...
Aug 1st, 2012
By Jacqueline Nash Bloink, MBA, CPC-I, CHC The Centers for Medicare & Medicaid Services (CMS) has begun a campaign to educate Medicare beneficiaries about preventive services, including wellness visits, available to them. There is even a YouTube clip to promote these visits. If CMS believes these visits are such a great service for the beneficiary, ...
Aug 1st, 2012
By Nancy Clark, CPC, CPC-I Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the code(s) submitted. Let’s look at the modifiers that can be appended to evaluation and management (E/M) codes used within the global period. The ...
Dec 1st, 2011
Whether it’s new modifiers, E/M, radiology, or Category II codes, we have the outlook for what’s on the horizon. By Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC CPT® 2012 arrives with over 500 code changes, plus minor additions to the Evaluation and Management Services Guidelines. The revised evaluation and management (E/M) guidelines clarify the “three-year ...