RE: IPPE AWV and preventive services PDF attatched [3 Attachments]

[Guest guest]

in 'template' formprobably violating all kinds of copyright stuff but attached what wrote below in the nice color coded AAFP templatecan use the applicable parts for the welcome to medicare physical exam or the annual wellness exam or follow up annual wellness examI dont use this because much of this is already in my EMR in the notes and I get the rest imported and up to date from Instant Medical History or HowsYourHealthit would be too much duplication for me to use this formBut it does show you what you're supposed to documentLynnTo: From: kevin_egly@...Date: Sun, 22 Jan 2012 08:20:58 -0800Subject: RE: IPPE AWV and preventive services PDF attatched [3 Attachments]

[Attachment(s) from Egly included below]

IMPS:

I have attatched the three templates that I use. Further information google CMS then search the website for IPPE, Annual wellness visit, and preventive services. Hope this helps you add these services to your clinics. and i found we have been doing this for free for the last 8 years.

I print out a chart summary from my emr AND REVIEW THE PATIENTS PAST MEDICAL AND SURGICAL HISTORY, MEDICATIONS, ALLERGIES, CURRENT PROBLEM LIST, FAMILY HISTORY, SOCIAL HISTORY, PHYSICIANS AND OTHER DOCTORS, ADLS, DEPRESSION SCREEN, FALL RISK ASSESSMENT.

I then print out the cms preventive services template and review it with the patient leaving open circles next to services they need, check marks next to those already provided, and x out those that don't apply.

I then routinely check lipid, fasting glucose, BP, height, weight, BMP, +/- A1c in office if diabetic. I examine other systems if patient has complaint.

I do a brief MMSE and document in psychological history with date performed.

I add a line in past medical history that AWV completed 2012.

I refill medications

I add lab codes and e/m code with -25 modifier and enter the G0438 for the AWV or G0402 for the IPPE slightly more complex visit. See the preventive services template attatched for codes and coverag.

I then type briefly what preventive services and preventive measures instituded (think Aspirin , or target LDL, or target A1c, or BP) and that a copy was provided to the patient.

I usually complete this in about 40-60 minute visit.

Next year should be easier for the next AWV will be different code.

I would have summarized my workflow earlier, but have been busy with year end taxes.

I really think these services will improve my patient's care and increase revenue per medicare patient by $100-150/year.

Subject: Burn outTo: Date: Wednesday, January 18, 2012, 9:58 AM

and gang:

Does anyone know the exact reference of the paper published in the annals regarding physician burn out? I need to cite it for a grant I a writing. Thanks for your help

Izquierdo-Porrera MD PhD

Executive Director & Co-founder Care for Your Health, Inc Phone "Don't ever let injustice go by unchallenged."

-- MD ph fax

-- MD ph fax

1 of 1 File(s)

fpm20110100p22-rt2 (3).pdf

[Guest guest]

i understand that 2012 AWS now requires a Health Risk Appraisal (HRA) to be

included as part of visit--can be done before visit by patient and then reviewed

at time of visit--no guidance as to what tool quailifies but is someone using a

tool besides HYH?

mike Jongerius

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> Subject: Burn out

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> Date: Wednesday, January 18, 2012, 9:58 AM

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> and gang:

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> Does anyone know the exact reference of the paper published in the annals

regarding physician burn out? I need to cite it for a grant I a writing. Thanks

for your help

>

> Izquierdo-Porrera MD PhD

> Executive Director & Co-founder

> Care for Your Health, Inc

> Phone

>

> " Don't ever let injustice go by unchallenged. "

>

>

>

>

> --

>

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> MD

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> ph fax

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>

> --

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> MD

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> ph fax

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