annual Wellness visit (Awv)
The Annual Wellness Visit will provide PQRS, HEDIS and Meaningful Use credits like no other solution, and will safeguard your future reimbursements.
The Annual Wellness Visit (AWV) is a good way to build your practice and can be a central point of providing preventive care for your Medicare patients. The revenues and pull through from the visit can be significant especially when adding on a chronic care management program. BACMAC has partnered with Total Recall to provide the the very best AWV.
Some doctors are still unsure how to implement the AWV due to the requirements around doing a complete health risk assessment as well as a compliant report.
1. Why do I need Total Recall to do my AWV?
Total Recall will handle all the training and 95% of the workload of the AWV. All the office needs do is get the patient to the office and the Total Recall technician will handle the rest. The technician will handle all aspects of the Health Risk Assessment, as well as provide additional Preventive testing for Pharmacogenetic screening, Cancer Screening and a Neurocognitive test where the patient qualifies. This preventive approach will improve health outcomes through a proactive approach to patient care. The practice also benefits from additional screening and testing that may be offered and the significant revenues it can produce.
2. I don’t have the time to do the Annual Wellness Visit
With our solution, your staff are freed up to get on with what they need to do and the technician provided to you handles the in office work of the AWV.
3. What reimbursements can I expect?
The elements of the AWV generate around $200 in revenue and the Neurocognitive component around $150. Follow-up Visit 2 is around $100 and Visit 3 $70 to $100. Additional pull through revenue is between $100 to $150 per patient. BACMAC has further add on solutions that can raise the opportunity for additional revenue higher including Fall Prevention, Neuropathy testing and Chronic Care Management.
4. What makes your service different then other Annual Wellness Providers?
Typically other Annual Wellness Providers do everything they can to get the patient to your office for the AWV, leaving you to handle the workload of the visit. With our program, all you need to do is get the patient to the office and our technician handles the rest. We provide ongoing support and monitor reimbursements and Medicare changes to ensure reimbursements and patient care are maximized.
5. Is the report compliant?
Many physicians may be doing the AWV but may not be providing a fully compliant report. The report must be written and given to the patient outlining their needs for short and long term care and screening. This will identify the pull through visits that also provide additional revenues for the office. Your patient will be happier as they have a written plan and a better understanding of additional testing, many of which are free from copay. The patient also receives educational material on providing self care with notes about end of life planning, blood pressure and obesity as examples.
6. How long does it take?
Patients are typically scheduled for a 75 minute appointment to cover the AWV and time for the additional testing (Neurocognitive and Genetic). The second and third visits are with the provider and can be covered in a short or long office visit depending on how much needs to be addressed with the patient. The second visit revises the results of the Neurocognitive screen and the third the outcomes of the genetic and cancer testing.
7. What if I want to provide my own technician?
This option is available also. The main purpose of the program is for your office to complete as many AWVs as needed to cover your Medicare patient base. For a tech to be provided to your office, a Medicare base of 1100 unique beneficiaries is required. Offices with a smaller volume can provide their own technician. Costing is based on the services provided. For our vendor to provide the training for your in house technician, the office must be committed to providing the AWV to all patients that qualify.
8. What are the costs and how much will I make?
Costs are based on whether a tech is provided to your office or you provide your own. A fee of $100 per AWV and per Neurocognitive test is charged with an office supplied tech. For an office supplied tech a fee of $75 is charged per AWV. Software fees also apply of $20 to $30 per AWV and per Neurocognitive test. Typical profits vary from over $275 per patient to $425 for the full cadence of visits plus any pull through or additional testing offered.
9. What do I need to get started?
BACMAC will provide you an agreement which you review, sign and return. Our vendor can assist in supporting your office to recruit a suitable technician. If you already have someone in mind then training will be organized typically within two to four weeks of the agreement being signed. The office will need to have a room for the technician to use. For office supplied techs, a computer and printer will be provided and for those offices supplying their own tech they will also need to supply their own computer. Internet access is also required. Our consultant will work with your office and the vendor to guide you through the implementation process as seamlessly as possible.
10. How long will it take to implement the program?
Once the agreement is signed, the office can be up and running typically within around four weeks.
11. What do I tell my patients?
The AWV is part of an initiative from the Affordable Care Act. By participating in an AWV, your patients are more likely to stay at home, safe and well for longer. A large part of the components of care lie in prevention and as we all know prevention is better than cure. There are no co-pays for the patients on the AWV and a number of follow-up tests. The AWV will identify areas that may have not been previously found to highlight a health risk. Some education is provided to enable patients to take better care of themselves.
12. How does it benefit my practice?
The benefits are many. The AWV is very patient-focused and highlights aspects of care that will enable better patient outcomes. The dementia testing will help identify the 70 to 75% of patients that are currently un-diagnosed with dementia or pre-dementia and also the high percentage of patients who are not taking advantage of preventive testing for other conditions. For every 500 Medicare patients the program can increase revenues upwards of $200 000 per year depending on the services offered. When adding in some other programs available from BACMAC this could be a further $375 000 per year if including Fall Prevention and Chronic Care Management.
13. How much space do I need?
A room 10' x 10' is enough space with Internet access.
14. What codes are used?
A combination of the following codes are used. G0438, G0439, G0442, G0444, 96102, 96119, 96118, 99213, 99214
15. What happens if I don't do the AWV?
Your practice will be missing out on the easiest way to comply with HEDIS, Meaningful Use and PQRS Credits. These points safeguard your future reimbursements. Your patients also get valuable access to preventive care with the Annual Wellness Visit. This helps keep patients at home, well and safe for longer and reduces costs of managed care.
16. Why do my patients need additional testing on top of the AWV?
Providing these additional services adds to the opportunity to identify risks early to create an awareness around further care and testing. With awareness, patients can be monitored for speed of disease progression in the case of dementia. This also will help detect the large percentage of patients that are currently going undiagnosed with dementia and predementia. Genetic and cancer screening typically does not reimburse for the physician and is easy to add into the convenience of a comprehensive risk assessment visit, giving the physician also a chance to review the results with the patient proactively.
The Annual Wellness Visit (AWV) is a good way to build your practice and can be a central point of providing preventive care for your Medicare patients. The revenues and pull through from the visit can be significant especially when adding on a chronic care management program. BACMAC has partnered with Total Recall to provide the the very best AWV.
Some doctors are still unsure how to implement the AWV due to the requirements around doing a complete health risk assessment as well as a compliant report.
1. Why do I need Total Recall to do my AWV?
Total Recall will handle all the training and 95% of the workload of the AWV. All the office needs do is get the patient to the office and the Total Recall technician will handle the rest. The technician will handle all aspects of the Health Risk Assessment, as well as provide additional Preventive testing for Pharmacogenetic screening, Cancer Screening and a Neurocognitive test where the patient qualifies. This preventive approach will improve health outcomes through a proactive approach to patient care. The practice also benefits from additional screening and testing that may be offered and the significant revenues it can produce.
2. I don’t have the time to do the Annual Wellness Visit
With our solution, your staff are freed up to get on with what they need to do and the technician provided to you handles the in office work of the AWV.
3. What reimbursements can I expect?
The elements of the AWV generate around $200 in revenue and the Neurocognitive component around $150. Follow-up Visit 2 is around $100 and Visit 3 $70 to $100. Additional pull through revenue is between $100 to $150 per patient. BACMAC has further add on solutions that can raise the opportunity for additional revenue higher including Fall Prevention, Neuropathy testing and Chronic Care Management.
4. What makes your service different then other Annual Wellness Providers?
Typically other Annual Wellness Providers do everything they can to get the patient to your office for the AWV, leaving you to handle the workload of the visit. With our program, all you need to do is get the patient to the office and our technician handles the rest. We provide ongoing support and monitor reimbursements and Medicare changes to ensure reimbursements and patient care are maximized.
5. Is the report compliant?
Many physicians may be doing the AWV but may not be providing a fully compliant report. The report must be written and given to the patient outlining their needs for short and long term care and screening. This will identify the pull through visits that also provide additional revenues for the office. Your patient will be happier as they have a written plan and a better understanding of additional testing, many of which are free from copay. The patient also receives educational material on providing self care with notes about end of life planning, blood pressure and obesity as examples.
6. How long does it take?
Patients are typically scheduled for a 75 minute appointment to cover the AWV and time for the additional testing (Neurocognitive and Genetic). The second and third visits are with the provider and can be covered in a short or long office visit depending on how much needs to be addressed with the patient. The second visit revises the results of the Neurocognitive screen and the third the outcomes of the genetic and cancer testing.
7. What if I want to provide my own technician?
This option is available also. The main purpose of the program is for your office to complete as many AWVs as needed to cover your Medicare patient base. For a tech to be provided to your office, a Medicare base of 1100 unique beneficiaries is required. Offices with a smaller volume can provide their own technician. Costing is based on the services provided. For our vendor to provide the training for your in house technician, the office must be committed to providing the AWV to all patients that qualify.
8. What are the costs and how much will I make?
Costs are based on whether a tech is provided to your office or you provide your own. A fee of $100 per AWV and per Neurocognitive test is charged with an office supplied tech. For an office supplied tech a fee of $75 is charged per AWV. Software fees also apply of $20 to $30 per AWV and per Neurocognitive test. Typical profits vary from over $275 per patient to $425 for the full cadence of visits plus any pull through or additional testing offered.
9. What do I need to get started?
BACMAC will provide you an agreement which you review, sign and return. Our vendor can assist in supporting your office to recruit a suitable technician. If you already have someone in mind then training will be organized typically within two to four weeks of the agreement being signed. The office will need to have a room for the technician to use. For office supplied techs, a computer and printer will be provided and for those offices supplying their own tech they will also need to supply their own computer. Internet access is also required. Our consultant will work with your office and the vendor to guide you through the implementation process as seamlessly as possible.
10. How long will it take to implement the program?
Once the agreement is signed, the office can be up and running typically within around four weeks.
11. What do I tell my patients?
The AWV is part of an initiative from the Affordable Care Act. By participating in an AWV, your patients are more likely to stay at home, safe and well for longer. A large part of the components of care lie in prevention and as we all know prevention is better than cure. There are no co-pays for the patients on the AWV and a number of follow-up tests. The AWV will identify areas that may have not been previously found to highlight a health risk. Some education is provided to enable patients to take better care of themselves.
12. How does it benefit my practice?
The benefits are many. The AWV is very patient-focused and highlights aspects of care that will enable better patient outcomes. The dementia testing will help identify the 70 to 75% of patients that are currently un-diagnosed with dementia or pre-dementia and also the high percentage of patients who are not taking advantage of preventive testing for other conditions. For every 500 Medicare patients the program can increase revenues upwards of $200 000 per year depending on the services offered. When adding in some other programs available from BACMAC this could be a further $375 000 per year if including Fall Prevention and Chronic Care Management.
13. How much space do I need?
A room 10' x 10' is enough space with Internet access.
14. What codes are used?
A combination of the following codes are used. G0438, G0439, G0442, G0444, 96102, 96119, 96118, 99213, 99214
15. What happens if I don't do the AWV?
Your practice will be missing out on the easiest way to comply with HEDIS, Meaningful Use and PQRS Credits. These points safeguard your future reimbursements. Your patients also get valuable access to preventive care with the Annual Wellness Visit. This helps keep patients at home, well and safe for longer and reduces costs of managed care.
16. Why do my patients need additional testing on top of the AWV?
Providing these additional services adds to the opportunity to identify risks early to create an awareness around further care and testing. With awareness, patients can be monitored for speed of disease progression in the case of dementia. This also will help detect the large percentage of patients that are currently going undiagnosed with dementia and predementia. Genetic and cancer screening typically does not reimburse for the physician and is easy to add into the convenience of a comprehensive risk assessment visit, giving the physician also a chance to review the results with the patient proactively.
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To learn more, please call 800.240.9473 today.
