Master Coding and Reimbursement for 2025 CMS Medicare Preventive Services and AWV

Event Materials (Key Required)

Course Description

As of 2025, CMS has made changes to Medicare preventive services, including the Annual Wellness Visit (AWV), with a focus on increased emphasis on cognitive assessments to screen for potential dementia during the AWV, potentially leading to further evaluation if concerns arise; this is part of a broader trend towards integrating more comprehensive preventive care into standard Medicare benefits.

Some believe that Medicare’s preventive services include everything at no cost to them. We will learn what Medicare covers and what they do not cover for preventive services. Preventive services are services, procedures, and screenings that identify diseases and preventing problems before they develop symptoms. Proactive steps to better health through regular check-ups, screenings, immunizations, are a path to a healthier lifestyle.

Medicare Part B allows coverage for a full range of preventive services and screenings. These services are important because they identify problems early. These services are instrumental in preventing many illnesses and deaths. Preventive services can also reduce surgeries. All this combined can help lower healthcare costs. We will review how to use the tools provided by Medicare. This will include the CPT and HCPCS service codes along with ICD-10 diagnosis codes for preventive services. Medicare has coverage requirements and frequency limits. We will review the patient’s financial responsibility.

Discover how to bill for a preventive service and an additional evaluation and management service during the same encounter. There could be a time when a preventive service has a portion that is a Medicare covered benefit and a portion that is not a covered benefit. Find out how to break down the patient’ financial responsibility for this circumstance. Learn the documentation requirements for the Initial Preventive Physician Exam (IPPE), also known as the Welcome to Medicare Visit along with the Annual Wellness Visit (AWV). Discover the allowed time frames and frequency limits.

Some services are considered the patient’s preventive care benefit and other times these same services will be subject to the patient’s deductible and coinsurance.

Learning Objectives

• Which Services are not Covered by Medicare
• Learn How to use Medicare’s Preventive Services Tool
• Know the 2025 Coding and Reimbursement Guidelines for Preventive Services and AWV
• Breaking Down the Patient’s Responsibility when the Encounter Includes both Preventive Services and Non-Covered Services
• Learn How and When to use Modifiers with Preventive Services
• Know the Services that Considered a Preventive Service Benefit and Sometimes not
• Learn the IPPE Requirements, Time Frames and Frequency
• Know the AWV, Initial and Subsequent Time Frames and Frequency
• Know the Diagnosis Codes Allowed with Preventive Services  

Areas Covered in the Session

• Medicare’s Preventive Services Tools
• 2025 CMS Medicare Rules and Guidelines for Preventive Services and AWV
• Know the Coding and Reimbursement Guidelines for Preventive Services and AWV
• Code Preventive Services and Sick Visit on the Same Date
• Medicare’s Documentation Requirements
• IPPE Requirements, Time Frames and Frequency Limits
• Patient Financial Responsibility
• Services Coded by Time
• Modifiers for Preventive Services and Correct Way to use
• Examples of Screenings
• Allowed Diagnoses Codes for Preventive Services and AWV
• Live Q&A Session

Suggested Attendees

• Physicians and Non-Physician Practitioners
• Administrators
• Practice Mangers
• Coding Managers
• Revenue Cycle Directors
• Coding Educators
• Coders
• Billers
• Denial and Appeals Team
• Auditors
• Coding Compliance Team

About the Presenter

Jimmie is a Certified Professional Coder (CPC), Certified Medical Coder (CMC), Certified Medical Chart Auditor E/M (CMCA-E/M), Certified Medical Office Manager (CMOM), and Certified Medical Insurance Specialist (CMIS). Additionally, she has special expertise in the areas of human resource management and patient advocacy. Jimmie has conducted managed care contract analyses and negotiation and has extensive training and experience in diagnostic and procedural coding as well as effective reimbursement and collections techniques. She is well versed in Medicare issues, coding, and compliance.

Jimmie owns her own consulting company and has opened many physician practices in the greater Houston area. She is currently taking a break and pursuing her greatest passion which is teaching. Jimmie has traveled the country teaching physicians, medical practice administrators and staff about the latest issues in medical practice management and the business of management. Her background includes management of several multi-physician, multispecialty clinics, along with overseeing the revenue cycle operations of all Texas practices for a nationwide healthcare system.

Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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