California Clinical Partners ACO
questions with verified answers
AWV's are an yearly exam that focuses on health promotion and disease prevention and
detection to help patients stay well - correct answer ✔✔Annual Wellness Visit
Physicians, PA, NP - correct answer ✔✔Who can perform AWV's?
One AWV a year, with a minimum of 11 months passing between AWV's - correct answer
✔✔When are patients eligible for AWV
1) Initial Prevention Physical Exam (IPPE)
2) Annual Wellness Visit (Initial)
3) Annual Wellness Visit (Subsequent) - correct answer ✔✔Types of AWV
CPT Code: G0402
-Known as the "Welcome to Medicare Preventive Visit"
-Payable once per lifetime of patients within the first 12 months of the effective date of the
patients first Part B coverage - correct answer ✔✔1) Initial Prevention Physical Exam (IPPE)
CPT: G0438
-Medicare cover patients who are no longer within the first 12 months of their first part B
coverage and who have not had an IPPE or AWV within the past 12 months
-Medicare pays for only one inital AWV per beneficiary per lifetime and one subsequent AWV
per year therafter - correct answer ✔✔Annual Wellness Visit (Initial)
, CPT Code: G0439
-Medicare cover patients who are no longer within the first 12 months of their first Part B
coverage and who have not had either an IPPE or an AWV within the past 12 months - correct
answer ✔✔Annual Wellness Visit (Subsequent)
-must report a diagnosis code when submitting a claim for AWV. Any code consistent with the
pt's exam - correct answer ✔✔What diagnosis is required for an AWV?
Health Insurance Portability and Accountability Act - correct answer ✔✔HIPAA
Protected Health Information - correct answer ✔✔PHI
Minimum savings rate
-point where shared savings hit - correct answer ✔✔MSR
Bring PCP back to the center - correct answer ✔✔What is the general goal of an ACO?
5,000 lives total - correct answer ✔✔How many lives at minimum for an ACO
medicare part that helps pay for hospital or skilled nursing facility or home health agency or
hospice care - correct answer ✔✔Part A
medicare that helps pay for doctor services and other medical services/equipment - correct
answer ✔✔Part B
poster/paper on the wall where patient can opt out of sharing their data. patient will still be
assigned but we won't see the data - correct answer ✔✔What are beneficiary notices
questions with verified answers
AWV's are an yearly exam that focuses on health promotion and disease prevention and
detection to help patients stay well - correct answer ✔✔Annual Wellness Visit
Physicians, PA, NP - correct answer ✔✔Who can perform AWV's?
One AWV a year, with a minimum of 11 months passing between AWV's - correct answer
✔✔When are patients eligible for AWV
1) Initial Prevention Physical Exam (IPPE)
2) Annual Wellness Visit (Initial)
3) Annual Wellness Visit (Subsequent) - correct answer ✔✔Types of AWV
CPT Code: G0402
-Known as the "Welcome to Medicare Preventive Visit"
-Payable once per lifetime of patients within the first 12 months of the effective date of the
patients first Part B coverage - correct answer ✔✔1) Initial Prevention Physical Exam (IPPE)
CPT: G0438
-Medicare cover patients who are no longer within the first 12 months of their first part B
coverage and who have not had an IPPE or AWV within the past 12 months
-Medicare pays for only one inital AWV per beneficiary per lifetime and one subsequent AWV
per year therafter - correct answer ✔✔Annual Wellness Visit (Initial)
, CPT Code: G0439
-Medicare cover patients who are no longer within the first 12 months of their first Part B
coverage and who have not had either an IPPE or an AWV within the past 12 months - correct
answer ✔✔Annual Wellness Visit (Subsequent)
-must report a diagnosis code when submitting a claim for AWV. Any code consistent with the
pt's exam - correct answer ✔✔What diagnosis is required for an AWV?
Health Insurance Portability and Accountability Act - correct answer ✔✔HIPAA
Protected Health Information - correct answer ✔✔PHI
Minimum savings rate
-point where shared savings hit - correct answer ✔✔MSR
Bring PCP back to the center - correct answer ✔✔What is the general goal of an ACO?
5,000 lives total - correct answer ✔✔How many lives at minimum for an ACO
medicare part that helps pay for hospital or skilled nursing facility or home health agency or
hospice care - correct answer ✔✔Part A
medicare that helps pay for doctor services and other medical services/equipment - correct
answer ✔✔Part B
poster/paper on the wall where patient can opt out of sharing their data. patient will still be
assigned but we won't see the data - correct answer ✔✔What are beneficiary notices
