Update: The 2022 Physician Fee Schedule final rule has delivered a significant increase in reimbursement for some chronic care management services and finalized the addition of new CCM CPT codes. To learn more about the substantial changes to CCM, watch our webinar covering some of the final rule's most significant telehealth and care management developments. Tucked deep within the 2022 Medicare Physician Fee Schedule proposed rule, presumably where it would be easy to miss, the Centers for Medicare & Medicaid Services (CMS) has penned a love letter to chronic care management.
Telehealth has emerged as a viable and valuable delivery care model, with remote patient monitoring (RPM) as one of the most effective forms of virtual care. While not technically a new concept, RPM has been around since the late 1960s. Since then, it has expanded and morphed into the useful solution and service it is today while gaining acceptance from practitioners, patients, payers, and the federal government.
From its creation in 1984, the U.S. Preventive Services Task Force (USPSTF) has been a significant influence in healthcare, helping to recommend and determine the most beneficial and effective clinical preventive services. With the goal of creating a positive impact on the health of all Americans, the Preventive Services Task Force reviews and updates existing clinical preventive service guidelines and evaluates new preventive service recommendations. Through the diligent work of USPSTF, practitioners are armed with the most reliable and current clinical prevention tactics available, helping them to create a positive and lasting impact on the health and wellness of their patients. Read on to learn about six things you should know about the Preventive Services Task Force.
This quick guide from Prevounce provides brief background information on the Affordable Care Act (ACA) and then identifies ACA preventive services and the CPT codes that correspond with each service. Along with the CPT codes, the guide identifies patient eligibility for each service. When listing all associated CPT codes would be impractical for a guide of this nature, we have provided a link to a webpage that provides the CPT codes you should use.
In this blog, we'll discuss what some practitioners consider to be a pesky service: the Medicare wellness visit, also referred to as the Medicare annual wellness visit or AWV. For various reasons, the very phrase "Medicare wellness visit" can instill a sense of loathing and dread. Confusing and unclear language concerning Medicare wellness visit guidelines can leave practitioners confused, potentially resulting in missed income opportunities for practices and missed preventive care opportunities for patients. However, the downsides of skipping the Medicare wellness visit are worse: harm to your bottom line and potentially harm to your patients if they do not receive this essential service elsewhere.
Prevounce Health, creators of the Prevounce Care Coordination Platform, congratulates Alexandra (Ola) Baczynski, the recipient of the first Prevounce Preventive Health Graduate Scholarship.
Prevounce Health, creators of the Prevounce Care Coordination Platform, congratulates Alyssa Johnston, the recipient of the first Prevounce Preventive Health Undergraduate Scholarship.
For practitioners, preventive services, such as Medicare's annual wellness visit (AWV), are an important offering and should be a significant part of the day-to-day operations of every primary care practice. When furnished effectively and appropriately, preventive services are typically no cost to patients, encourage improved patient health and wellness outcomes, and increase practice revenue while decreasing practitioner risk — all while positively impacting our nation's out-of-control annual healthcare spending.
If you came to this blog looking for instructions on setting up a Medicare annual wellness visit (AWV) template for your practice, you won't find that here. But don't go anywhere! We provide a link to a blog at the end of this piece that explains how to create an AWV template. The reason we put it at the end is because we think it's important to explain a few of the most significant reasons why your practice should not default to using a paper template or rigid electronic template (e.g., fillable PDF). Our guidance is largely centered around the fact that at its core, the AWV is a fairly complex set of requirements that have the potential to lead to compliance pitfalls.
You schedule a patient's first Medicare annual wellness visit (AWV). The patient comes into your practice, or perhaps you meet via telehealth. You furnish the AWV, seemingly checking all of the boxes necessary to deliver this critical yearly appointment that helps prevent illness and get your practice paid. And yet a few weeks after submitting your claim to Medicare for the service, it's denied. The reason: You incorrectly used HCPCS code G0438.
