New Revenue Opportunity: How to Bill for Medicare’s New Annual Wellness Visit

Your Expert Presenter

Betsy Nicoletti, CPC

Betsy Nicoletti has been speaking for DecisionHealth for over ten years.  She is the author of a DecisionHealth bestseller, The Physician Auditing Workbook.  Betsy started her consulting work in 1999 and is a Certified Professional Coder.  Betsy simplifies complex coding rules for practitioners.  Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education.  She holds a Master’s of Science in Organization and Management from Antioch New England.

BMSC Approved CEUs

The Board of Medical Specialty Coding has approved 1.5 continuing education units for this webinar. (ACS or SCP)

More Information and CEU FAQs

Get as much as a 20% boost to your bottom line with Medicare’s new annual wellness visit created by the health care reform law.

Prepare now to take advantage of a new covered service poised to deliver a significant revenue boost to your practice in 2011 - a fully covered annual wellness visit with a waived co-pay and deductible for all Medicare patients.

This new billing opportunity comes thanks to a provision in the health reform law and is scheduled to take effect January 1. Unlike the Welcome to Medicare visit, this annual wellness visit can be repeated every year for all Medicare patients.

But this won’t be free money. The annual wellness visit comes with steep requirements, such as gathering detailed risk factor data and creating personalized mitigation plans that last five years or longer. It’s billed with two different codes and has its own bundling rules.

Discover how to take advantage of this major new billing opportunity by learning the coverage rules and how this service will be coded and billed. Give your physicians and staff the facts, tips and advice to smoothly schedule, furnish and bill for this new service that will bring in more than $100 PER PATIENT, per year, assuming proposed rules are finalized as is.

This 90-minute session will cover everything you need to know about the wellness visit, including:

• Detailed explanation of the new wellness visit’s components, including specific requirements for new personalized prevention plans and differences from the existing Welcome to Medicare benefit.
• Billing and coding rules you must follow, including documentation and supervision requirements for non-physicians furnishing the service, bundling rules and an analysis of what you can expect to earn from the service, based on specific RVU amounts and other facts from CMS’s proposed 2011 Medicare Physician Fee Schedule.
• Tips and guidance to prepare for a smooth rollout of the new service, including how to educate your patients on the service and devise a system to track patient eligibility so you never lose out on a chance to get paid.
• Full timeline to implementation so you are perpared to bill it correctely on day 1.