Create a preventive care plan based on patient's health conditions
14
Discuss the preventive care plan with patient
15
Approval: Preventive Care Plan
16
Document all findings in patient's EMR(Electronic Medical Records)
17
Notify patient's primary care physician about the exam findings
18
Bill services to Medicare
19
Follow up with patient after the exam
20
Evaluate patient's satisfaction with Medicare Wellness Exam
Schedule Medicare Wellness Exam
Schedule the Medicare Wellness Exam for the patient. Confirm the date and time that works best for them and make the necessary arrangements. Ensure that the patient is aware of the purpose and benefits of the exam and answer any questions they may have.
Confirm patient's eligibility for Medicare
Verify whether the patient is eligible for Medicare coverage. Check their insurance information and ensure that all necessary documents and paperwork are in order. If further documentation is required, inform the patient and assist them in obtaining it.
1
Yes
2
No
Notify patient about the upcoming appointment
Send a notification to the patient about their upcoming Medicare Wellness Exam appointment. Ensure that they are aware of the date, time, and location of the appointment. Provide any additional instructions or information they may need.
Prepare medical history questionnaire
Prepare a comprehensive medical history questionnaire for the patient. This will help gather relevant information about their medical background, past illnesses, medications, allergies, and family medical history. Use a friendly and easy-to-understand language to make it accessible for the patient.
Approval: Medical History Evaluation
Will be submitted for approval:
Prepare medical history questionnaire
Will be submitted
Perform physical examination
Conduct a thorough physical examination of the patient to assess their general health. This may involve checking vital signs, examining body systems, and evaluating overall physical well-being. Use appropriate medical instruments and techniques to gather accurate data.
1
Measure blood pressure
2
Check heart rate
3
Examine reflexes
4
Assess lung function
5
Inspect skin condition
Conduct preventive health screening tests
Perform preventive health screening tests to identify any potential health risks or undetected conditions. This may include blood tests, cholesterol screenings, cancer screenings, bone density tests, or any other relevant tests based on the patient's age, gender, and medical history.
1
Complete blood count
2
Cholesterol level test
3
Mammogram
4
Colonoscopy
5
Bone density test
Administer vaccines if necessary
Check the patient's vaccination records and administer any required vaccines or booster shots. Ensure that the patient is informed about the purpose and benefits of each vaccine and address any concerns they may have. Keep detailed documentation of the administered vaccines.
1
Flu vaccine
2
Tetanus vaccine
3
Pneumococcal vaccine
4
Shingles vaccine
5
HPV vaccine
Review patient's medications
Review the patient's current medications, both prescription and over-the-counter. Assess their efficacy, potential interactions, and side effects. Make any necessary recommendations or adjustments in consultation with the patient's primary care physician.
Discuss patient's health risk assessment
Evaluate the patient's health risks based on their medical history, physical examination results, and screening test outcomes. Discuss the identified risks, their potential consequences, and available preventive interventions. Encourage the patient to actively participate in their health management.
Approval: Health Risk Assessment
Will be submitted for approval:
Discuss patient's health risk assessment
Will be submitted
Provide patient with personalized health advice
Offer personalized health advice to the patient based on their individual health needs and goals. Recommend lifestyle modifications, dietary changes, exercise routines, and stress management techniques. Ensure that the advice is clear, practical, and tailored to the patient's circumstances.
Create a preventive care plan based on patient's health conditions
Develop a comprehensive preventive care plan customized to the patient's specific health conditions, risks, and goals. Include recommendations for regular screenings, immunizations, health check-ups, and lifestyle modifications. Provide clear instructions on following the care plan effectively.
Discuss the preventive care plan with patient
Review the preventive care plan with the patient in detail. Ensure that they understand the rationale, benefits, and importance of each component. Address any concerns or questions they may have and encourage their active engagement in the care plan.
Approval: Preventive Care Plan
Will be submitted for approval:
Create a preventive care plan based on patient's health conditions
Will be submitted
Document all findings in patient's EMR(Electronic Medical Records)
Record all relevant findings, observations, assessments, and recommendations in the patient's Electronic Medical Records (EMR) system. Ensure accuracy, clarity, and compliance with documentation standards. Use appropriate codes, terminology, and formats as required.
Notify patient's primary care physician about the exam findings
Communicate the Medicare Wellness Exam findings and recommendations to the patient's primary care physician. Ensure timely and accurate transmission of information to facilitate continuity of care and collaboration in the patient's ongoing healthcare management.
Bill services to Medicare
Submit the necessary documentation and codes to bill Medicare for the provided services. Ensure accuracy and compliance with Medicare guidelines and regulations. Keep records of the billing information for reference and auditing purposes.
Follow up with patient after the exam
Follow up with the patient after the Medicare Wellness Exam to ensure their understanding of the findings, care plan, and recommendations. Address any questions or concerns they may have and provide any necessary additional information or clarification.
Evaluate patient's satisfaction with Medicare Wellness Exam
Assess the patient's satisfaction with their Medicare Wellness Exam experience. Request feedback on the process, communication, quality of care, and overall satisfaction. Use the feedback to identify areas for improvement and enhance the patient experience in future exams.
