This page addresses follow-up questions and additional information pertinent to our webinar
Time for a Check-up: E/M Coding for Primary Care.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: How often can advanced care planning be reported?
A: There are no frequency limitations. However, Medicare only waives this 1x per year when done with an AWV visit. Also, if billed more than once, Medicare expects to see a change in patient’s status or end-of-life wishes.
Q: Can I report a pelvic and breast screening exam with an AWV?
A: Yes, if the exam elements are met and the patient is within frequency requirements for coverage.
Q: Is the Welcome to Medicare visit always the first Annual Wellness visit performed when a patient becomes eligible for Part B Medicare?
A: Usually, but not always. A patient is only eligible for the Welcome to Medicare visit for the first 12 months of eligibility. If they do not get this done within those 12 months, then the first visit becomes the Initial Wellness Visit, G0438.
Looking for additional information on this topic?
Emily Lomaquahu, CPC, CPMA, CEDC
Senior Coding Quality Auditor & Educator
Emily is a Senior Coding Quality Auditor for Haugen Consulting Group and brings over a decade of experience to the profee team! She began her career as an auditor and with her keen eye for detail, she quickly found it was a perfect fit. Emily thrives in a collaborative environment and enjoys creating high-quality trainings to help providers and coders navigate charts and improve their accuracy. She earned a bachelor’s degree from the University of Colorado, in Denver. Emily specializes in Evaluation and Management (E/M), Primary Care, Anesthesia, Emergency Department, and Neurology, though she says Anesthesia and Neurology are her favorites! She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and Certified Emergency Department Coder (CEDC).