Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Boost annual planned visit rates

We’re committed to ensuring every eligible member receives an Annual Planned Visit (APV) this year and appreciate your help to make this happen.

Tips to help your practice boost APV rates early in the year:

  • Members do not need to wait a full calendar year between wellness visits. Coverage resets on January 1 and we encourage all eligible members to schedule wellness visits with their care provider.
  • Outreach to members within their first year of Medicare to schedule their Welcome to Medicare Exam (or Initial preventive physical exam, IPPE) and explain its importance.
  • Know who your hard-to-engage members are and start contacting them earlier in the year.
  • The Provider News Quality Management page is a great resource to learn more about optimizing your quality scores and staying up to date on our latest communications.
  • While everyone is eligible for an annual wellness visit, some of the topics discussed during the visit may require additional follow-up to close a care gap. Be aware of scheduling lead times with other facilities for certain visit types, like mammograms, DEXA scans, and colonoscopies. Try to prioritize these patients who need these services for wellness visits.
  • The AWV is a hands-off appointment that can be conducted via telehealth. This may be a great option for patients with mobility or access issues or compromised immune systems. See our guide for how to facilitate these exams via telehealth here.

APV coding guidelines:

*Verify member’s benefits and eligibility prior to scheduling

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc., serving all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123, are independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: January 2024 Provider Newsletter