FPM Toolbox

Medicare

Download tools to help you comply with Medicare rules for annual wellness visits and more.

Health Risk Assessment/Medicare Wellness Checkup

A health risk assessment Medicare patients can complete as part of their annual wellness visits
Download Format: PDF
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Medicare Initial Preventive Physical Examination Encounter Form ("Welcome to Medicare Physical")

An encounter form to ensure all elements of the initial preventive physical exam ("Welcome to Medicare Physical") are completed
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Medicare Preventive Physical Exam Encounter Form

An encounter form that details the components required for the "Welcome to Medicare Physical," the initial annual wellness Visit, and the subsequent annual wellness visit
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Medicare Superbill

A superbill to capture the CPT and HCPCS codes most commonly used in office visits with Medicare patients
Download Format: PDF
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Medicare Wellness Visits IPPE and AWV

A table outlining Medicare requirements for the initial preventive physical exam, the initial annual wellness visit, and the subsequent annual wellness visit
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Preventive Services Covered by Medicare in 2016

A list of Medicare preventive service codes and coverage requirements
Download Format: PDF
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Scheduling Resource for Medicare Wellness Visits

A resource to help schedulers communicate with Medicare patients regarding wellness visits
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Wellness Care - Letter to Patients

A sample letter to patients explaining Medicare wellness care
Download Format: PDF
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