Kristine Kapusta

- GET TO KNOW - Annual Wellness Visits The Annual Wellness Visit (AWV) is an annual appointment for Medicare Beneficiaries provided at no-cost to the patient aimed at identifying health risks and taking the steps to reduce them. G0402 G0438 G0439 AWV Snapshot B COVERED BY DEVELOP PERSONALIZED MEDICARE PART HELPS PREVENT PREVENTION PLAN DISEASE DISABILITY AVAILABLE TO PATIENTS AT NO COST* *Patients may have to pay coinsurance or the Medicare Part B deductible if provider performs services outside of what is covered under the Annual Wellness Visit and those services are not part of preventive and screening services. On the road to BETTER HEALTH Patients can begin their preventive health journey as soon as they are enrolled in Medicare Part B. MONTHS IN MEDICARE PART B 0 G0402 Initial Preventive Physical Examination (IPPE)1,2 Take Vitals or Welcome to Medicare Preventative Visit Screenings, Shots, Referrals Once in a Lifetime Basic Examination 0-12 mo. since enrollment 172 $ APPROXIMATE REIMBURSEMENT Vision testing Depression & Safety Review Written Screening Schedule 12 MONTHS G0438 Initial Annual Wellness Visit (AWV)1,2 157 $ APPROXIMATE REIMBURSEMENT Health Risk Assessment Once in a Lifetime More Detailed Examination Medical/Family History 12+ Months since IPPE Risk Factor Assessment Cognitive Impairment Screen Functional Capacity Evaluation Safety Analysis Depression & Anxiety Analysis Personalized Health Advisement 24 MONTHS AND BEYOND G0439 Subsequent Annual Wellness Visit (AWV)1,2 Update any changes Recurring Annually 12+ Months since Initial or last AWV 105 Cognitive Impairment Screen Depression & Anxiety Analysis $ APPROXIMATE REIMBURSEMENT PATIENT IMPRESSIONS The majority of patients who had an AWV reported a positive experience.3 “Would Recommend to a Friend” 8 87 % “PROBLEMS NOT ADDRESSED” “Would Do It Again” % HAD A POSITIVE EXPERIENCE 3% “NO EXAM OR BLOODWORK” “Met My Expectations” Substantial Benefits FOR ALL Both Patients and Practices will benefit from AWV participation. Improve Quality Measures MIPS & PQRS Discover Patient Needs FOR OTHER SERVICES Improve Patient EXPERIENCE & OUTCOMES Increase Practice REVENUE FOR PRACTICES FOR PATIENTS Obtain Thorough WRITTEN PLAN Available At NO COST Learn More About PERSONAL HEALTH Pro-Actively Address FUTURE ILLNESSES FLEXIBILITY FOR PRACTICES Annual Wellness Visits can be conducted by: Physician Physician’s Assistant Medical Professional Nurse Practitioner Clinical Nurse Specialist Health Educator Registered Dietitian Nutritional Professional Management Service Organization (MSO) Under Physician Direction Huge Potential for REIMBURSEMENT 58M OF THE 59 MILLION MEDICARE BENEFICIARIES PATIENTS RECEIVING AWV 4 54M MEDICARE BENEFICIARIES ONLY 11 MILLION 56M 5 53M RECEIVED AWV 51M THAT’S OVER 7 BILLION IN UNTAPPED REVENUE! 3M 4M 2012 2013 5M 2014 9M 2015 11M 2016 OPTIMIZE YOUR PRACTICE 1 2 3 To meet AWV requirements, take a few steps to ensure program success. ENABLE YOUR PEOPLE Provide Education & Training Distribute clear marketing content for both patients & staff Promote Engagement MAKE AWV PROCESSES MORE EFFICIENT Evaluate & Optimize Work flow Leverage existing staff to full extent of licensure Promote Proactive Patient Outreach GET THE MOST OUT OF TECHNOLOGY Optimize existing EHR & other clinical IT Automate AWV Work flows Capture Relevant Documentation & Reduce Billing Errors At CareHarmony, we are singular in focus—we seek to improve the patient experience and clinical outcomes by providing compassionate, whole-person care coordination services. Our high-tech, high-touch offering includes a turnkey Chronic Care Management solution designed to offer healthcare providers an easy, limited-risk first step into value-based care. SOURCES: https://www.qualityinsights-qin.org/getattachment/Initiatives/Special-Innovation-Projects/SIP2-Annual-Wellness-Visit/SIP2-Annual-Wellness-Visit-Change-Package/ AWV-Change-Package-for-Web.pdf.aspx 2 https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1338.pdf 3 http://mds.marshall.edu/cgi/viewcontent.cgi?article=1047&context=mjm 4 https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Dashboard/Medicare-Enrollment/Enrollment%20Dashboard.html 5 https://downloads.cms.gov/files/Beneficiaries%20Utilizing%20Free%20Preventive%20Services%20by%20State%20YTD%202016.pdf 1