OFFICE MANAGER: I mean, look at these claims. Denied, approved, denied, denied, approved. I can’t make sense of it. Why would Medicare cover some of these physicals and not others? It seems random. PHYSICIAN: I doubt they’re just rolling the dice. Maybe we’re getting denials for errors we’re not catching. Let’s tackle the first claim and figure out where we went wrong. OFFICE MANAGER: I wish someone could guide us down the right path, usher along our quest for answers. PHYSICIAN: Let’s call the MAC! Dial tone. Numbers being dialed. Phone ringing. MAC: Medicare Administrative Contractor. How may I assist you? OFFICE MANAGER: Hi, so Medicare denied our claim for this office visit… What kind of visit? An Initial Preventive Physical Exam? An Annual Wellness Visit? Or a Routine Physical Checkup? OFFICE MANAGER: Aren’t those the same thing? PHYSICIAN: Not exactly. They’re like apples and oranges and... mangoes. MAC: Medicare does not cover Routine Physical Checkups, but it does cover Initial Preventive Physical Exams and Annual Wellness Visits. An Initial Preventive Physical Exam is a one-time “Welcome to Medicare” visit given to newly-enrolled beneficiaries. An Annual Wellness Visit can happen once a year. It’s where you perform a health risk assessment and develop or update a beneficiary’s personalized prevention plan. If a visit’s not one of these two and it does not treat or diagnose something specific, it’s probably just a Routine Physical Checkup. What’s more, Initial Preventive Physical Exams and Annual Wellness Visits are covered by Medicare, whereas Routine Physicals are not. Keep in mind that if you provide services that are not an aspect of an Annual Wellness Visit, the beneficiary may owe a copay or other charges. PHYSICIAN: Alright, let’s take a look at Ms. Jennings’ visit. It’s coded as a Routine Physical. But maybe it was something else? Let’s see. Ms. Jennings asked for an...
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About Medicare Wellness Exam Questions PDF
The Medicare Wellness Exam Questions PDF is a document that contains a specific set of questions that are used during a Medicare wellness exam. These exams are preventive services provided to Medicare beneficiaries to assess their overall health and address any potential health risks or concerns. The PDF typically includes a comprehensive list of questions related to the individual's medical history, current health status, lifestyle choices, and other relevant factors. The questions cover various aspects of health, such as physical activity, diet, tobacco and alcohol use, mental health, medication usage, and family medical history. The purpose of asking such questions is to collect essential information that helps healthcare providers gain a better understanding of the patient's health, potential risk factors, and areas that require attention or intervention. The Medicare Wellness Exam Questions PDF is primarily designed for healthcare providers, particularly physicians, nurse practitioners, and other professionals conducting Medicare wellness exams. However, patients can also benefit from accessing the PDF to review the questions beforehand, allowing them to better prepare for their wellness exams and provide more accurate and detailed information to their healthcare providers. It is important to note that the questions in the PDF may vary slightly depending on the specific guidelines and recommendations provided by the Centers for Medicare and Medicaid Services (CMS), the federal agency responsible for administering the Medicare program. Therefore, it is advisable for healthcare providers and patients to consult the most recent version of the PDF or relevant CMS guidelines to ensure they have the most up-to-date set of questions for Medicare wellness exams.
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