Preventative health care is important because it helps people stay healthy and can help reduce the overall medical expenses of patients. Screening for disease such as high blood pressure, diabetes, chronic pulmonary disease is important to maintain good health.

Medicare
Having a wellness visit check list will help to keep you focused and on track for the visit. There are many available forms for the Medicare Annual Wellness visit (AWV) that can help to organize the flow of the visit.

The Medicare Annual Wellness visit does not include a hands-on exam or any testing that the Doctor may recommend. It also does not include any discussion on new/current medical problems, conditions, or medications. It does include a Health Risk Assessment (HRA) that asks various questions regarding your ability to do activities of daily living (ADLs), pain assessment, medication reconciliation, as well as psycho-social aspects.

Commercial/Medicaid
Ensuring wellness check ups for newborns through adolescence is important to track growth and development, preventing illness through immunizations, monitoring nutrition and physical activity, and, creating strong relationships among the parent/child/physician.

For adults, the annual physical is important to screen blood pressure, cholesterol, blood glucose, osteoporosis, and body mass index (BMI). Keeping vaccines up to date to prevent diseases is also important to overall health.

Tips

• Communicate by postcards/email/telephone reminders that it is time for your annual check-up

• During the preventative visit, obtain a signed release form from the patient will aid the practice if there is any need for additional information from another physician

• If, during the Medicare Wellness visit, a problem is discussed, the doctor can bill with a 25 modifier code. It is important to let the patient know that they may be billed for the visit if this occurs.


Sources:
www.cms.gov; www.aafp.org
www.aap.org; www. Medicaid.gov

Approved Quality Committee – 1/8/2020

May 2021 Notes from the Network

May 2021 Notes from the Network

Opportunity to Meet CEO Dr. John Pagan: PA Clinical Network CEO, John Pagan MD FACS, will be conducting three townhall style meetings on Tuesday May 11. This is an opportunity for our membership to meet and ask questions of our new CEO. Three virtual options will be...

read more

This content is restricted to site members. If you are an existing user, please log in. New users may register below.

Existing Users Log In
   
New User Registration
*Required field