Services
Improve the overall health and wellness of your Medicare population
Annual Wellness Visit
(No Co-Pay or Deductible)
Medicare covers an annual wellness visit with no cost to the patient whether they are enrolled in original Medicare or a Medicare Advantage plan, as long as, the practice is an in-network provider. This visit is an opportunity for patient and the Practice’s Constant Care Wellness team to develop a personalized prevention plan that takes a comprehensive approach to improving health and preventing disease.
- 30 minute Health Risk Assessment
- In Office Visit with a Nurse and Medical Assistant
- 45 – 75 minute appointments
- Screenings: depression, alcohol, nutrition, pain, tobacco
- Advanced Care Planning initiation
- Medication review
- Vaccine administration
- Scheduling follow-up appointments
- Provide personalized healthcare action plan
Advanced Care Planning
(No Co-Pay or Deductible if done with Annual Wellness Visit)
In 2016, the Centers for Medicare & Medicaid Services (CMS) began reimbursing for advance care planning (ACP) as a payable service for traditional Medicare beneficiaries. ACP is the face-to- face time a physician or other qualified health care professional spends with a patient, family member, or surrogate to explain and discuss advance directives. Two CPT codes are used to report ACP services: 99497 and 99498.
- Educating about the types of decisions that will need to be made prior to their death or incapacitation
- Considering those decisions ahead of time
- Letting other know about their preferences, often by putting them into an advance directive
- The components of ACP are:
- Face-to-face visit
- Advance Directives discussed
- Advance Directive Forms are not completed during ACP
- Covered annually during an AWV
Chronic Care Management
(Approximately $8 Co-Pay)
Recognizing the value Chronic Care Management (CCM) can deliver in improving health outcomes and reducing healthcare spending, the Centers for Medicare and Medicaid Services (CMS) adopted a new service code in January 2015. CPT Code 99490 reimburses physicians or other eligible healthcare professionals approximately $43 per patient per month (national average as of January 2018) for delivering at least 20 minutes of non-face- to-face care coordination to eligible Medicare beneficiaries
- Delivered to patients with 2 or more chronic conditions:
- High blood pressure
- High cholesterol
- Diabetes
- Heart disease
- 20 minute “Talk Therapy” monthly via phone calls by clinically trained call center staff
- Continuous engagement as an extension of the physician
- Motivate behavioral changes
- Increase compliance regarding medication
- Schedule follow-up visits with providers & referrals
- Healthcare education