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Download Medicare Annual Wellness Exam - Virginia Society of Medical
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Medicare Annual Wellness Exam Presented by: Susan Duden, CPC. March 24, 2012 Medicare Preventative Services Welcome to Medicare exam and physical Vaccines Various Screening procedures Annual Wellness exam Welcome to Medicare physical Must be performed within 12 months of the patient’s effective date of Medicare part B Once in a lifetime procedure Screening EKG is only allowed if referral from the IPPE appointment G0402 Vaccines Flu Vaccine, one per flu season Pneumococcal, 1 per lifetime, unless at risk patient HBV, limited to high risk patients Various screening Procedures Prostate blood screening, 1 per year Mammography, 1 per year GYN, every 24 months unless at high risk Colonoscopy, 1 per ten years Bone Mass Measurements, 1 per 24 months Etc. Annual Wellness Exam Allowed 1 per year Cannot be done within a year of the Welcome to Medicare Physical 12 months apart G0438, first visit for wellness exam G0439, subsequent visits, every 12 months Who can perform this exam? Doctor of Medicine or Doctor of Osteopathy Nurse practitioner Physician Assistant Clinical Nurse Specialist Health Professional Health educator, registered dietitian, nutrition professional or a team of medical professionals working under the direct supervision of a Physician What is included in the Annual Wellness Exam? This is not a hands on physical! Patient History Benign examination Counseling Establishing the Medical/Family History Collect and document the following: Past medical and surgical history Allergies Use or exposure to medications and supplements Family history for disease or illness that may be hereditary or place beneficiary at increased risk. A list of providers and suppliers the patient is currently using Review of patient’s Risk Factors Screening for depression Screen for risk of falls Questions on home safety Questions on hearing impairments Cognitive abilities The abilities to perform activities for daily living Benign Examination Height Weight Body Mass Index (BMI) Blood pressure Establishing a Written Screening Schedule Make a check list for the next ten years Based on the patient health status and history Include age appropriate preventative services Up to and including bone mass measurements, prostate cancer screening, colonoscopy, mammography, seasonal flu vaccine and pneumococcal vaccine, and, if the patient meets the Medicare guidelines, a hepatitis B vaccine. Establish a List of Risk Factors Risk factors or conditions where intervention might be necessary A list of treatment options and their associated risks and benefits Furnishing advise to patient on preventative counseling Personalized health advice with referrals as appropriate Including weight loss, physical activity, smoking cessation, fall prevention nutrition and alcohol abuse Subsequent Annual Wellness Exams Frequency is 1 per year Updating any of the provider or supplier information, family history, etc Assessing cognitive impairment Weight, BMI, Blood pressure Continued Counseling Update the written screening schedule developed at the initial wellness exam Update any risk factors that may have been identified Personalized referrals as appropriate. Including lifestyle interventions, weight loss, physical activity, smoking or alcohol cessation, fall prevention and nutrition. Frequently asked questions Is the AWV the same as a yearly physical? Are clinical laboratory tests part of the AWE? Is there a deductible or coinsurance due for the AWE? Can a separate E&M be done on the same day? What the Patient should bring to the Annual Wellness Exam A full list of current providers and suppliers involved in providing care Family Health history with as much detail as possible Medical records, including immunization records A full list of medications Including supplements such as calcium and vitamins How often and how much are they taking Questions? CMS links for Preventative Information http://www.cms.gov/PrevntionGenInfo/ https://www.cms.gov/MLNProducts/downloa ds/MPS_QRI_IPPE001a.pdf https://www.cms.gov/MLNProducts/35_Preve ntiveServices.asp https://www.cms.gov/MLNProducts/downloa ds/AWV_Chart_ICN905706.pdf
