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Thread: changes to Medicare AWV for 2012

  1. #1

    Thumbs down changes to Medicare AWV for 2012

    AAPC: Back to School
    I have heard that Medicare will now require a health risk assessment as part of the AWV for 2012. Does anyone know if this is true or where I can get more information on this?

  2. #2
    Join Date
    Apr 2007
    Hartford, CT


    A health risk assessment is a part of the AWV and is not new for 2012. It's required under the Affordable Care Act. This might help you understand it better. http://www.cms.gov/coveragegeninfo/d...tsCDCfinal.pdf

  3. #3


    It looks like there is going to be expanded coverage for a "heart prevention" visit in addition to the AWV/IPPE. THis link has a brief summary with the link to CMS NCD information. I have not yet found any information on the specifics of the visit, CPT or HCPCS code.

    Christina Musser, CPC

  4. #4


    Here is the link to CMS NCD - very detailed inforamtion and it states that the specific coding guidelines will be forthcoming.

    Christina Musser, CPC

  5. #5


    there is a new HRA (health risk assessement) eff Jan 2012. It's different from the one already included in the AWV. This is a form that must be filled out by the patient prior to or during the AWV and evaluated by the provider in his/her AWV exam. CMS does not have a sample form, but does Part B news.com dated 11-7-11 has the details.

  6. #6


    Does anyone have reference to a template for the new 2012 AWV requirements. We have a template for 2011, but we need to add the new requirements and didn't know if anyone would be willing to share their information on this.
    Diana Yates, CPC, CPC-H, CPC-I, CPEDS
    Past AAPCCA Board member 2008-2011

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