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Capture Accurate ICD-10, HCPCS, CPT Coding at Annual Wellness Visit

Health Partners Plans (HPP) wants to address health risks faced by older populations and encourage our Medicare members to take charge of their health.

The Annual Wellness Visit (AWV), added to the Medicare benefits by the Centers for Medicare & Medicaid Services (CMS) in 2011, is intended to help Medicare beneficiaries maintain good health by catching signs of disease early and taking a preventive approach to health care. HPP believes an AWV is a great way for you to stay up-to-date on your patients’ health, and is an opportunity to offer actionable advice that helps patients maintain or improve their health throughout the coming year.

Appropriate use of the HCPCS code and specific ICD-10 coding, supported by your medical record documentation in an AWV, will capture the member’s active medical conditions, personal and family health history, medication review, socioeconomic status, immunization record, and advance directive status. Please see the communication below for applicable HCPCS codes.

Completion of an AWV is beneficial for the patient, provider and HPP. It assures that you and HPP have a complete and accurate picture of the health status of the patient. The AWV can also capture elements of the QCP measure Care for Older Adult (COA). Please consult HPP’s QCP Manual for coding for COA measure; contact your Network Account Manager to learn more about the QCP Manual. Accurate submission of ICD-10, CPT and HCPCS coding through claims will help improve members’ risk scores and quality measures.

HPP will be providing a new report on NaviNet that will allow all providers to view previous HCC diagnosis codes submitted on claims in 2020. Please review and use this report to recapture those diagnoses that are present in 2021.

If you have any questions regarding appropriate coding and documentation, or would like education, please contact Christina Rock, Clinical Education Supervisor, at 215-965-7127 or via email at crock@hpplans.com.

Resources
Feb. 10: Full letter to providers