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AWV and Medical Necessity Extras

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Manage episode 459790146 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

When auditing Annual Wellness Visits (AWV), is the concept still the same as preventive exams concerning modifier 25?

The AWV does not include managing medications or managing conditions. However, the rules need to see medical necessity for the E/M on the same date with a -25 modifier. Remember, patients do not have a share of cost of AWV’s so if you add an E/M it comes out of their pocket too.

Terry also adds more commentary for the audio-only Telehealth rules for 2025.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post AWV and Medical Necessity Extras appeared first on Terry Fletcher Consulting, Inc..

  continue reading

74 episodes

Artwork
iconShare
 
Manage episode 459790146 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

When auditing Annual Wellness Visits (AWV), is the concept still the same as preventive exams concerning modifier 25?

The AWV does not include managing medications or managing conditions. However, the rules need to see medical necessity for the E/M on the same date with a -25 modifier. Remember, patients do not have a share of cost of AWV’s so if you add an E/M it comes out of their pocket too.

Terry also adds more commentary for the audio-only Telehealth rules for 2025.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post AWV and Medical Necessity Extras appeared first on Terry Fletcher Consulting, Inc..

  continue reading

74 episodes

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