Today, Medicare and many PPOs focus on PREVENTATIVE care. CMS has set up many assessments, screenings, and counseling measures to facilitate this process. Physicians who choose to participate are reimbursed WELL for these services, as it aims at reducing health care costs over time. CLICK HERE TO READ CMS GUIDELINES
How is your office performing these services? By whom?
WE HAVE THE SOLUTION!
Stop wasting the doctor's time or the physician extender's time! This is costing the practice revenue with no added value to the patient.
WE HAVE THE SOLUTION!
NO START-UP COSTS!
NO MONTHLY FEES!
RUNS ON ANY COMPUTER OR TABLET WITH INTERNET ACCESS!
SO SIMPLE THAT IT CAN BE PERFORMED BY A MEDICAL ASSISTANT!
WHAT ARE YOU WAITING FOR?
ANNUAL WELLNESS VISITS
Advanced software for commercial PPO, ACO, IPA and Medicare Annual Wellness Visits. Reimbursement for the initial visit ranges from $150 to about $200, depending on the LCD or the patient’s PPO plan. Subsequent yearly visits reimburse from $105 to about $180, depending on the LCD or the patient’s PPO plan. Last, Medicare and many PPOs cover the AWV at 100%. In other words, the patient does NOT have any coinsurance, co-payment and/or deductible costs.
BEHAVIORAL HEALTH EVALUATION
Depression Screening and Alcohol and Substance Abuse Screening under the Affordable Care Act is allowed once per year per patient. Both of them are 100% covered by the ACA with $0 patient responsibility for Medicare and most PPOs. Reimbursement for each screening ranges from about $16 - $21 for Medicare and up to $45 for PPOs. The screenings are administered by office staff (takes about 5 minutes) and then reviewed by a PA, NP, MD or DO. Additional electronic screens to follow-up a behavioral health treatment plan are covered based on medical necessity.
Patients that have suspected neurocognitive issues are appropriate for the electronic screening test. The screening test reimburses at about $80 for Medicare and about $120 PPO per 15 minute electronic screening, which can be administered by an office staff member and then reviewed by a PA, NP, MD/DO. Additional electronic screens to follow-up a behavioral health treatment plan are covered based on medical necessity.