Annual wellness visit

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Eligibility

Medicare Part B covers the Annual Wellness Visit if:

  • You have had Part B for over 12 months
  • And, you have not received an AWV in the past 12 months

Additionally, you cannot receive your AWV within the same year as your Welcome to Medicare preventive visit.


Medicare Part B Covered services

A "Welcome to Medicare" preventive visit:

You can get this visit only within the first 12 months you have Part B. This visit includes a review of your medical and social history related to your health and education and counseling about preventive services, including these:

  • Check your height, weight, blood pressure, and other routine measurements
  • Give you a health risk assessment
    • This may include a questionnaire that you complete before or during the visit. The questionnaire asks about your health status, injury risks, behavioral risks, and urgent health needs
  • Review your functional ability and level of safety
    • This includes screening for hearing impairments and your risk of falling.
    • Your doctor must also assess your ability to perform activities of daily living (such as bathing and dressing), and your level of safety at home.
  • Learn about your medical and family history
  • Make a list of your current providers, durable medical equipment (DME) suppliers, and medications
    • Medications include prescription medications, as well as vitamins and supplements you may take
  • Create a written 5-10 year screening schedule or check-list
    • Your PCP should keep in mind your health status, screening history, and eligibility for age-appropriate, Medicare-covered preventive services
  • Screen for cognitive impairment, including diseases such as Alzheimer’s and other forms of dementia
    • Medicare does not require that doctors use a test to screen you. Instead, doctors are asked to rely on their observations and/or on reports by you and others.
  • Screen for depression
  • Provide health advice and referrals to health education and/or preventive counseling services aimed at reducing identified risk factors and promoting wellness
    • Health education and preventive counseling may relate to weight loss, physical activity, smoking cessation, fall prevention, nutrition, and more.

Yearly "Wellness" visits:

If you've had Part B for longer than 12 months, you can get this visit to develop or update a personalized prevention help plan. This plan is designed to help prevent disease and disability based on your current health and risk factors. Your provider will ask you to fill out a questionnaire, called a “Health Risk Assessment,” as part of this visit. Answering these questions can help you and your provider develop a personalized prevention plan to help you stay healthy and get the most out of your visit. It can also include:

  • Check your weight and blood pressure
  • Update the health risk assessment you completed
  • Update your medical and family history
  • Update your list of current medical providers and suppliers
  • Update your written screening schedule
  • Screen for cognitive issues
  • Provide health advice and referrals to health education and/or preventive counseling services

Included services:

Cerified EHR Framework

Use of a meaningful use 2014 Certified Electronic Health Record (EHR).

Auto identify eligible patients

Identify eligible AWV patients in a click

Email patient questionnaire

Ability to send questionnaire as email. So that the patients can complete it before the visit

Smart-EHR integrated clinical intake

Clinical intake is integrated with the existing EMR. So, no need to re-key data