Three Types of Preventive Visits
Only a mere 18.8% of eligible Medicare Beneficiaries receive an AWV. Because all Medicare patients are eligible for a free yearly wellness visit at no cost, physician offices are missing out on an additional revenue stream.
IPPE – G0402
Initial Preventive
Physical Examination
- Medicare pays for one per lifetime
- Must be done in first 12 mos. of Part B coverage
- Also known as “Welcome to Medicare Visit”
$168 Reimbursed to the Doctor per patient (Nat Avg)
Initial
Initial Annual AWV-G0438
Wellness Visit
- Applies the first-time a beneficiary receives AWV
- Done after first 12 mos. of Part B coverage
- No IPPE or AWV within the past 12 months
$172 Reimbursed to the Doctor per patient (Nat Avg)
Subsequent AWV- G0439
Subsequent Annual
Wellness Visit
- Applies the first-time a beneficiary receives AWV
- No IPPE or AWV within the past 12 months
$117 Reimbursed to the Doctor per patient (Nat Avg)