How to conduct a "welcome to Medicare" visit.

نویسنده

  • Randall O Card
چکیده

Tool inside The new Welcome to Medicare exam revolves around preventive health care, something family physicians have always incorporated into their practice. But as you work out your routine for performing these visits, you might need to reframe your thinking about what constitutes a physical exam. The new Medicare exam includes seven elements, and they add up to a patient encounter that is as much of a conversation as it is a physical exam. Making sure you cover all of the required elements in the allotted time takes a well-planned routine. If you haven't already developed such a routine, this article suggests some time-saving strategies. It is followed by an encounter form that will help you to ensure all elements of the initial preventive physical exam are completed. The form also should help you meet evaluation and management (E/M) documentation requirements. The essential elements As part of the Medicare Modernization Act (MMA), Medicare beneficiaries whose Part B coverage began after Jan. 1, 2005, and who are within six months of the effective date of their coverage are eligible for one initial preventive physical exam. The exam focuses on identifying modifiable risk factors for medical conditions that frequently affect the elderly, as well as education, counseling and referral for Medicare-covered preventive services. Here are the seven required elements: 1. Review of comprehensive medical and social history. The purpose of this element is to identify modifiable risk factors for disease. You might need to reframe your thinking about what constitutes a physical exam. The medical history component should include illnesses, hospitalizations, surgeries, injuries, allergies, medications, supplements and vitamins. Social issues to address include alcohol, Page 1 of 8 Getting Paid April 2005 Family Practice Management

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عنوان ژورنال:
  • Family practice management

دوره 12 4  شماره 

صفحات  -

تاریخ انتشار 2005