HCC Blog by Caridad

This is a link to further information on the Medicare Preventive Services. The layout of it reminds me of a bingo card!  Medicare Learning Network is the educational arm of Centers for Medicare and Medicaid Service (CMS). Remember this is further information on different types of screenings available to Medicare beneficiaries. https://www.cms.gov/Medicare/ Prevention/PrevntionGenInfo/ medicare-preventive-services/ MPS-QuickReferenceChart-1. html#AWV Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.

The Centers for Medicare and Medicaid have posted a revised, ten-page MLN Booklet entitled MEDICARE AND MEDICAID BASICS from Medicare Learning Network Publications & Multimedia. As of July 2017. This booklet provides an overview of the Medicare and Medicaid Programs and some brief information on other types of health coverage. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ProgramBasicsText-Only.pdf The Centers for Medicare & Medicaid Services (CMS) oversees Medicare and Medicaid along with other Federal health care programs and services. This booklet provides an overview of the Medicare and Medicaid Programs and some brief information on other types of health coverage.

Noridian has posted information from their review of subsequent Annual Wellness Visits (AWV) for prepayment claims. By the information on their website, it appears to have been a one-time task for claims from Southern California. The summary of their findings is very interesting. https://med.noridianmedicare. com/web/jeb/search-result/-/ view/10525/g0439-annual- wellness-visit-subsequent-–- final-results-of-service- specific-prepayment-review- southern-california Summary of Findings Findings of claims reviewed from March 10, 2017 - June 8, 2017 are as follows: • 740 Claims Reviewed • 129 Claims Paid • 611 Claims Corrected or Denied • 82.59% Error Rate Also available on this page for review are: Top Denial Reasons Educational Resources and References Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate a...

From Noridian's Medicare web page,  Jurisdiction E - Medicare Part B covering California and a few other states... comes the details on...  Initial Preventive Physical Exam Screening Electrocardiogram Annual Wellness Visit (AWV)  1. First AWV components 2. Subsequent AWV components It has the components for each type of exam. This is another resource, beside the CMS website for these details.  http://med.noridianmedicare. com/web/jeb/search-result/-/ view/10542/annual-wellness- visit-awv-and-initial- preventive-physical-exam-ippe- Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The inf...