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- Initial Preventive Physical Exam (IPPE)
- Initial Annual Wellness Visit (AWV)
- Subsequent AWVs.
The IPPE should be conducted once, within the first year of a patient’s enrollment in Medicare. This visit is used to review their medical and social health history, provide education on preventive services, and introduce them to Medicare and their covered benefits.
The initial AWV should be conducted once, after a patient’s first year of Medicare enrollment. This visit is used to develop a personalized prevention plan (PPP) and to perform a health risk assessment (HRA) with the patient.
Subsequent AWVs should be conducted annually, beginning 12 months after the initial AWV. These visits are used to review and update the PPP and HRA developed in the initial visit.
Each visit has a unique set of billing codes and varying requirements, so understanding each visit, when to offer it, and its purpose and requirements can help you avoid denied claims.
Helpful tip: Clinical staff can conduct these visits under the supervision of a billing provider, saving time and resources.
Check out this flyer for resources and information to help you successfully submit claims and gain efficiencies in time and resources spent on each visit.