Leisa Bailey, MD, has embraced change in her practice with two goals: improve patient care and increase revenue.
Annual Wellness Visit
The Annual Wellness Visit (AWV) allows practices to gain information about the patient, including medical and family history, health risks, and specific vitals. Not to be confused with a complete physical examination, the purpose of the AWV is to review the patient’s wellness and develop a personalized prevention plan. The services provided during the AWV are different from a typical preventive care visit and expand to include emotional and psychological well-being, in addition to the patient’s physical well-being. The AWV provides an opportunity for physicians to improve the quality of care, assist in patient engagement, and optimize payment opportunities.
Wondering how the AAFP is working to ensure value-based care is effective for family physicians? For starters, we’re showing government leaders and payers the benefits of payment models that emphasize primary care.
Optimize revenue and improve patient outcomes with Medicare's Annual Wellness Visits. These visits help you identify care gaps, increase revenue, and prepare your practice for value-based care.
The two CPT codes used to report AWV services are:
Requirements and components for G0438 (initial visit) include:
Requirements and provisions for G0439 (subsequent visit) include:
Health Care Professionals Who May Furnish and Bill AWV:
Non-physicians must legally be authorized and qualified to provide AWVs in the state in which the services are furnished.
Better patient care starts with preventive wellness visits. Download the AAFP’s patient flier and use it to talk with your Medicare patients about the importance of scheduling a free, personalized prevention visit with you.
The Annual Wellness Visit (AWV) can be added to your small practice with existing staff and minimal impact to your operations. The AWV identifies care gaps and preventive services, increases revenue, and prepares your practice for value-based payment.
The AAFP supports this preventive coverage as it provides an opportunity to deliver, document, and bill for the service. Implementing the service allows physicians to invest in patient-centered, team-based care while promoting quality and cost-effective care.
It is important to remember that code G0438 is for the first AWV only. The submission of G0438 for a beneficiary for which a claim code of G0438 has already been paid will result in a denial. This benefit is covered at 100% for the beneficiary.