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Links Description
Link Quick Reference Information: The ABC’s of providing the Initial Preventive http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network- Physical Exam MLN/MLNProducts/downloads/MPS_QRI_IPPE001a.pdf AAFP template for Medicare IPPE exam http://www.aafp.org/fpm/2005/0400/fpm20050400p27-rt1.pdf Template for Medicare annual well visit http://www.pswipa.com/uploads/Medicare%20Well%20Patient%20Physical.pdf Quick Reference Information: The ABC’s of Providing the Annual Well Visit http://www.sccma-mcms.org/_images/_userfiles/File/Ref%20Guide%20AWV.pdf Medicare Learning Network: Preventive Services http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/PreventiveServices.html “Welcome to Medicare Visit” aka IPPE aka G0402 http://www.capturebilling.com/welcome-to-medicare-visit-ippe Providing the Annual Well Visit http://www.codingahead.com/2011/08/abcs-of-providing-annual-wellness-visit.html Medicare Annual Wellness Visit Questionnaire (Courtesy of Maryland Primary Care http://www.medfusion.net/templates/groups/2907/4030/MedicareAnnualWellnessVisitQuestionnaire.pdf Physicians) Health Risk Assessment Form http://www.mybraintest.org/dl/Health-Risk-Assessment-Form-MyBrainTest.pdf Fact Sheet For Cognitive Screening Test Medicare Annual Wellness Visit http://www.mybraintest.org/dl/Cognitive_Screening_Tests_for_Medicare_Annual_Wellness_Visit.pdf SAGE Test – Self Administered Gerocognitive Examination http://www.mybraintest.org/dl/Sage-Form1.pdf Short Blessed Test – SBT. Also referred to as Blessed Orientation Memory http://www.mybraintest.org/dl/ShortBlessedTest_WashingtonUniversityVersion.pdf Concentration (BOMC) Mental Health America—Depression Screening Test http://www.mentalhealthamerica.net/llw/depression_screen.cfm Welcome To Medicare Visit ---Patient Information http://www.medicare.gov/people-like-me/new-to-medicare/welcome-to-medicare-visit.html Medicare Annual Well Visit Starter Kits AWV Portfolio® http://www.mybraintest.org/medicare-cognitive-screening-tests/ Templates for Medicare Wellness Visits, CANS-MCI for Cognitive Impairment http://www.klahealthcare.com/blog/templates-for-medicare-wellness-visits-cans-mci-for-cognitive-impairment AMA Medicare Preventive Services: A new benefit for Patients and Physicians http://www.ama-assn.org/ama1/pub/upload/mm/433/cpt-medicare-ps.pdf Medicare Screening Checklist http://www.medicare.gov/navigation/manage-your-health/preventive-services/preventive-service-checklist.aspx CMS: Understanding Medicare Preventive Services http://www.medicarenhic.com/PA/billing/Understanding%20Medicare%20Preventive%20Services.pdf © Medical Network One Health Solutions 2012 1
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