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Medicare Annual Wellness Visits: Streamlining the Process

Medicare services have supplied much-needed relief to many patients all over the country, but providing it to your patients and getting paid for it can be difficult. There’s often a lot of red tape involved, making the process lengthier and more convoluted than expected. You may even be questioning the efficiency of Medicare services, wondering if it makes sense for your practice to continue providing it. 

Luckily, we have a guide to the Medicare annual wellness visit (AWV) that can help you sort through muddled details. By understanding how to carry out these visits more efficiently, you can streamline the process and continue delivering excellent patient care.

The Importance of Preventative Medicine

An ounce of prevention is worth more than a pound of the cure, making this type of medicine crucial for saving lives. In fact, according to The Centers for Disease Control and Prevention, saving more than 100,000 lives is possible every year if every American received the recommended clinical preventive treatment. 

Although providing preventive care is crucial for overall wellness, there are many hurdles that medical practices face when carrying out a Medicare preventive screening program, especially in traditional clinics. There’s a lot of confusion surrounding the visit, making the service more difficult to offer.

How Confusion Complicates Medicare Services

Medicare services make treatment more accessible for some patients. However, the misinformation and complex requirements result in patients resorting to other methods of diagnosing and managing their illness instead of taking advantage of the service. They eventually miss out on the benefits, and medical practices give up opportunities to earn more money. In other cases, some medical professionals are even reluctant to carry out the Medicare annual wellness visit, given the perceived inconveniences and complex billing processes.

Without correctly understanding the process, your medical practice may end up using inefficient resources to fulfill the requirements when conducting these visits. Although your procedure may be reimbursed for the expenses, if these are found to be non-compliant, you may even be forced to return it. Fortunately, with open communication and the right tools by your side, you can streamline your approach to the Medicare annual wellness visit in a way that’s easy to conduct with staff members. 

Preparing for Medicare Annual Wellness Visits

There are a few things you need to prepare before creating a standardized Medicare annual wellness visit process. You’ll have to simplify a few things, such as ensuring eligibility requirements, taking care of each visit’s components like health risk assessments, and keeping proper documentation to maintain compliance. You’ll also have to keep your practice updated on the Centers for Medicare & Medicaid Services guidelines. 

Once you utilize technological resources in delivering the AWV, you’ll find that conducting the visit is much simpler and more manageable. It will also remove inefficiencies and room for human error, as it will automate several steps to provide better patient communication and compliance with reporting and billing guidelines. With a streamlined process, your patients can take advantage of these preventative care services.

Conclusion

Medicare offers patients numerous benefits, although many people haven’t been able to take advantage of it because of the rampant misinformation surrounding the service. Luckily, your medical practice can clarify your patients’ requirements and processes while establishing a straightforward approach to conducting the visits. That way, your patients can benefit from Medicare more than they ever have before.

Medistics Health is a team of health professionals that simplifies the healthcare experience for medical practices. We offer remote patient monitoring, allowing patients to access a Care Manager and a corresponding care plan tailored to their needs. Contact us today to get started!

Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

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