Fam Pract Manag. 2012 Sep-Oct;19(5):10.
Medicare annual wellness visit health risk assessment
As part of the annual wellness visit (AWV), Medicare requires that we establish “a list of risk factors and conditions for which relevant primary, secondary, and tertiary interventions are underway … and a list of treatment options and their associated risk and benefits.” What should I write in my note to meet this requirement? Is it OK to use check boxes? I assume the risk factors should focus on well-being – not on chronic comorbidities like hypertension and diabetes, which are addressed separately during my simultaneously billed evaluation and management visit.
Response: Your documentation should focus on the 17 risk factors that the Centers for Medicare & Medicaid Services has identified for use in health risk assessments and should include your related recommendations or plans for follow-up care. The risk factors are physical inactivity/lack of exercise, poor nutrition, smoking/tobacco use, excessive alcohol consumption, high blood pressure, high blood glucose, high total cholesterol, being overweight/obese, inappropriate use of clinical preventive services, depression, high stress, lack of general well-being, burden of providing care giving, social isolation, lack of motor vehicle/home safety, falls (preventable accidents), and polypharmacy/medication issues. Yes, you may use check boxes. FPM has published a health risk assessment form and an AWV encounter form that you may find helpful.
WE WANT TO HEAR FROM YOU
Send your comments to email@example.com. Submission of a letter will be construed as granting AAFP permission to publish the letter in any of its publications in any form. We cannot respond to all letters we receive. Those chosen for publication will be edited for length and style.
Copyright © 2012 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact firstname.lastname@example.org for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions
More in FPM
Related Topic Searches
MOST RECENT ISSUE
Access the latest issue
of FPM journal
To avoid a negative payment adjustment from Medicare in 2020, practices must achieve a MIPS final score of at least 15 points for the 2018 performance period. Here's how to meet this performance threshold.