History
What one disease MUST you screen for at all Medicare Wellness visits?
What is depression
True or false, a full physical is required/expected as part of the Medicare Wellness Visit
What is FALSE
What are the four vaccines Medicare pays for?
What are:
Pneumococcal
Influenza
Hep B
Covid
What is the purpose of a Medicare Wellness Visit?
What are the three codes for Medicare wellness visits (Descriptions, not necessarily the numbers)
G0438 - Initial Medicare wellness visit after the IPPE
G0439 - Subsequent Wellness visit
G0402 - Initial "Welcome to Medicare" visit - within 12 months of receiving Medicare Benefits - aka IPPE
What are some of the risks that should be discussed at all MediWellness visits -name at least 5
Opioid use
Fall risk
Home safety
Hearing and vision impairment
Cognitive deficits, memory problems
ADLs
IADLs
What are the five REQUIRED exam elements for a Medicare Wellness visit?
BP
BMI
Assessment of cognition/memory
Assessment of mood/affect
Comment on their hearing
What are the three tests you should consider for the IPPE (Welcome to medicare) visit that are not covered at subsequent wellness visits?
EKG
Vision Screen
AAA screen for male smokers
What can you assume if a patient has Medicare and is under 65 years of age?
What is They have a permanent disability or ESRD
True or false, you can bill for a Medicare Wellness visit via video?
TRUE
What are your two options when a patient starts asking about their back pain at the end of your Medicare Wellness visit?
1) Can discuss it and add an E&M Code (99213, 99214 etc - pt will have a copay)
2) Tell them to reschedule as that is not included in a Wellness visit
True or false, there is an additional bill/charge if you do a pap or rectal exam at a Medicare Wellness visit?
TRUE -
Pap add G0091
Rectal add G0102 (males only)
Name the three main important elements of the PLAN of Wellness visit
Ordering screening exams and giving patient printed plan
Addressing risk factors
Discuss end of life issues / advanced directives
What must you provide to the patient at the end of the visit?
What is a printed/written plan of screening exams
What monetary incentive is there for patients to have their Medicare Wellness visits?
No copay