Medicare AWV Annual Wellness Visit and ADL's

Medicare is a valid pay source for (AWV) the annual wellness visit.  The AWV annual wellness visit is a preventable approach which is in addition to the routine physical check up.  Medicare demonstrates the importance of having the AWV annual wellness visit by waiving coinsurance, part B deductible, and copay costs for the card holder.

The AWV annual wellness visit includes PPPS providing personalized prevention plan services.  This involves the clinic staff assessing the ability of the elder to successfully perform the activities of daily living on their own.  This is listed under the Medicare certified provider guideline elements of acquiring the beneficiary history and review of functional ability and level of safety. 

The AWV annual wellness visit with PPPS providing personalized prevention plan service regulation includes two components.  One component is providing the assessment and the second is referring to community health programs (www.homecarepath.com) designed to meet the need. 

Once the Medicare certified provider has documented the assessment and referred the needs to the community organizations a claim can be submitted.  For an initial appointment for an annual wellness visit the provider lists HCPCS code G0438.  With the subsequent  wellness visit the HCPCS  code is G0439. 

This regulatory connection encourages the clinic (primary care provider) staff to participate in tasks of care coordination beyond the building walls.  This is strengthening a community structure linking providers of long term care services to the families with aging loved ones needing help.

The staff of Home Care Path encourage Medicare card holders to attend their Annual Wellness Visits. 

Home Care Path celebrates 4 years of successfully serving seniors in South


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 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life