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Beware of new scrutiny for your annual wellness visits (AWV) and the Welcome to Medicare service one such code that usually carries a modest denial rate has shown an alarming percentage of improper payments. Make extra sure you’ve fulfilled the basics when you bill them.
CMS’ new rule updating the Stark physician self-referral law brings some welcome relief for physicians who want to participate in value-based initiatives but were afraid of violating the law’s strict referral ban.
As practices adapt to a new set of documentation guidelines for E/M office visits in 2021, the time is ripe to assess your risk and prevent slip-ups.
Question: I diagnosed a patient with a seizure disorder. I told her to report the diagnosis to the Department of Motor Vehicles (DMV) as it may invalidate her license; I’m pretty sure she won’t do it. If I report her to the DMV myself, am I violating her confidentiality?
While the volume of Welcome to Medicare visits has grown modestly and initial annual wellness visits (AWVs) have declined in recent years, the use of subsequent AWV claims has surged at a 26% growth rate.


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