Medicare mandates reimbursement of CPT Codes G0438, G0439 & 99497 with no co-pay, no co-insurance and no deductible. Annual Wellness Visits (AWV) present medical offices with an excellent opportunity to generate substantial revenue from Medicare’s guarantee of payment.

The AWV is the heart and soul of Medicare’s effort to plan each patient’s long term preventative care. These AWVs are mandated to be reimbursed by Medicare. This guaran­teed reimbursement environment can sub­stantially revise the economics of practices that take advantage of this solution.

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The Problem With Delivering Annual Wellness Visits

Delivering the Annual Wellness Program with excellence is becoming a necessity. The problem with delivering the Annual Wellness Program is that it requires a dedicated staff with robust systems in place, working day in and day out on outreach and delivery. Often times, it falls onto the provider to deliver these programs, which is ineffective and capacity limiting.

MassCare’s Innovative Solution

MassCare has developed an industry leading process solution to completing and enhancing Medicare’s Annual Wellness Visits. We place an ambulatory trained clinical pharmacist into the practice or health system to drive and deliver superior patient care and experiences. Our clinical pharmacists work in tandem with our care liaisons to saturate the patient population and close care gaps in a quantifiable way. All of this leads to optimizations for improved MIP’s (Merit-based Incentive Payment System) scores increased bonuses, as MassCare bills specific CPT codes that increase aggregate PQRS and HEDIS scores. Providers are able to perform patient care at the highest level of their license while delegating the Annual Wellness Visit program. Our service delivers 100% Medicare com­pliant AWVs.