G0439: Annual Wellness Visit, Subsequent – Final Results

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 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.