IPPE or AWV – What’s the difference?

Initial Preventive Physical Exam (IPPE) – This one-time ‘Welcome to Medicare’ visit is given to newly enrolled beneficiaries.

Annual Wellness Visit (AWV) – Performed annually, patients receive a comprehensive health risk assessment and a personalized prevention plan. The AWV is available after a Medicare beneficiary is enrolled in Part B for longer than 12 months.

By incorporating these visits into your practice, you can keep more patients healthy while providing a new stream of revenue. Here are a few more tips to assist with documentation:

• Verify SPOT on the CMS portal to ensure the G code has not been used by another provider.

• Document whenever a screening is not indicated, contraindicated, or if a patient refuses or is noncompliant to explain why the quality measure was not met.

• Assess which coding modifiers and service codes should be submitted on the claim.

• Submit claim with ICD-10, CPT and CPT II quality codes.

For questions or guidance, email achn@achnfl.com or call 954.265.7793