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.

MassCare bills specific CPT codes that increase aggregate PQRS and HEDIS scores. In fact, the AWV is the heart and soul of Medicare’s effort to plan each patient’s long term preventative care. Our service delivers 100% Medicare com­pliant AWVs. 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.


Medicare’s Chronic Care Management allows practices to bill for many of the routine and customary services and tasks ordinarily provided to the sickest (and most expensive to care for) group of Medicare patients. For the first time ever, Medicare’s CPT 99490 allows physicians to bill for “non face-to-face” time spent with patients with two or more Chronic diseases. This “non face-to-face” can be anything from refilling prescriptions to reconciling medications, and it can be provided by a MassCare staff member.

MassCare provides turnkey AWV and CCM solutions for Providers.

Contact us to discuss options!