Annual Wellness Visits (AWVs) go beyond a yearly evaluation. The AWV provides a means to achieving several goals, including:

Clinicians and healthcare policymakers are accepting that physical and mental health are closely interconnected. This view is now influencing the aims and focus of value-based care through Chronic Care Management, care coordination, and Integrated Behavioral Health.

What is Principal Care Management? Principal Care Management (PCM) is a preventive program that helps patients mitigate one, specific chronic condition. Covered by Medicare Part B, providers should learn what CPT billing codes are used for PCM in order to optimize care delivery and avoid denied claims.

Annual Wellness Visits (AWV) for Medicare beneficiaries can add measurable value to benefit patient health outcomes, quality performance, and service revenue. However, it’s critical to optimize physician and staff time with a reliable, standards-based, and streamlined workflow.

Annual Wellness Visits (AWVs) have been shown to reduce healthcare expenses by 5.7% for Medicare beneficiaries. In addition to reducing future costs, AWVs provide an opportunity to assess a patient’s health risks and create a personalized prevention plan.

What is a Medicare Annual Wellness Visit? A Medicare Annual Wellness Visit (AWV) is a preventive screening used to identify gaps in care.

Transitional Care Management (TCM) was developed by the Centers for Medicare & Medicaid Services (CMS) mainly for adults older than 65. However, the model presented through its requirements and the CPT codes that CMS reimburses is also accessible to clinicians serving patients under 65. Additionally, many commercial payors cover transitional care through various products and arrangements, which we will explore.

Care coordination includes organizing patient activities and services across multiple providers. The approach prioritizes communicating all relevant information to the participants involved in the person’s care. Its overall objective is to fulfill an individual’s care needs and preferences through high-quality, personalized engagement.

Many physicians and clinicians pride themselves on the relationships they develop with their patients. By creating a patient-centered care plan, providers can enhance engagement, deliver timely interventions, align on outcome goals, and improve care team coordination.