Medicare now covers an optional screening for social determinants of health (SDOH). As detailed in the 2024 Physician Fee Schedule Final Rule, this assessment can be conducted during an Annual Wellness Visit (AWV).

For 2024, Medicare has introduced a new Social Determinants of Health (SDoH) assessment. An SDoH assessment is a valuable tool to help to identify known or suspected SDoH needs that may interfere with the diagnosis or treatment of a patient and can help lead to improved outcomes.

With an Annual Wellness Visit (AWV), your patient receives an appropriate opportunity to review Advance Care Planning (ACP). You can use this yearly assessment as a time to cover why advanced planning can be of great benefit. In this video, we discuss everything you need to know about the 2024 CPT codes, billing requirements, and reimbursements for Advance Care Planning (ACP), so you can properly bill for this program and maximize your revenue. This includes code 99497 and add-on code 99498. Download an Advance Care Planning guide to help you manage your program.

Annual Wellness Visits (AWV) can be an effective way to embrace value-based care, so it’s important to understand the program's rules and regulations, as well as the different types of AWVs your practice can offer.

Understanding the billing codes for Medicare Annual Wellness Visits (AWVs) can provide a better idea of what is expected, both by the patient and by the payer. Understanding billing codes may also help you project revenues and optimize your staff’s capacity.

The Centers for Medicare & Medicaid Services (CMS) announced key reimbursement rates, additional CPT codes, two program expansions, and an entirely new care management program, effective January 1, 2023.