Did you know that there are strict billing, coding, and documentation guidelines for Medicare Annual Wellness Visit (AWV)? join us for a session filled with coverage and billing rules guidelines, tools and tips for providers and coders, and potential denial areas. Master the CMS current coding, billing and coverage rules and requirements for annual wellness visit (AWV) to speed up the Medicare Claims Processing. Facilities should use the following Healthcare Common Procedure Coding System (HCPCS) codes to bill AWV services:

• G0438 (AWV; includes a personalized prevention plan of service [PPS], initial visit)
• G0439 (AWV; includes a personalized PPS, subsequent visit)

CMS also updated guidance on the Advance Beneficiary Notice of Non-coverage (ABN) in of the Medicare Claims Processing Manual. Although it is not required, physicians are strongly encouraged to provide an ABN to beneficiaries when providing and billing for a preventive medicine service and AWV.

What You’ll Learn:

• Medicare Annual Wellness Visit (AWV) Overview
• IPPE vs AWV vs Routine Physical Exam
• Annual Wellness Visit (AWV) Requirements
• First AWV Components
• Subsequent AWV Components
• Health Risk Assessment (HRA)
• Advance Care Planning
• Social Determinants of Health
• Coverage Criteria for IPPE and AWV
• Top Rejection – 8/1/25 to 10/31/25
• Avoiding Frequency Rejections
• AWV Coding – HCPCS/CPT, ICD-10, Type of Service
• Type of Bill for FISS Claims
• Specialty Coding
  – Method II CAH
  – FQHC
  – RHC and FQHC
• Evaluation and Management
• Modifiers
• Eligibility Options
• Resources

Who Should Attend:

• Physicians
• Non-Physicians Providers
• Medical Billing Specialists and Managers
• Medical Coding Specialists and Managers
• Medical Auditors
• Revenue Cycle Manager and Staff
• Practice Managers
• Office Managers and Administrators
• Clinical Operations Staff
• Compliance Officers
• Qualified Healthcare Practitioners
• Healthcare Executives, Directors and Supervisors

Don’t miss this opportunity to master the CMS rules and requirements for Medicare Annual Wellness Visits (AWV) coverage and billing to boost the provider’s reimbursement.