Do You Understand How Medicare Wellness Exams Work?
This is testing the feasibility of using this on-line quiz product to test (and teach) employees how to properly schedule, generate, and bill for Medicare-related well person visits.
- 1.What does "I.P.P.E." stand for?
- A.
"Initial Preventive Physical Exam" - the "Welcome to Medicare" exam!
- B.
"Infant Preventive Physical Exam" - has nothing to do with Medicare
- C.
"Illness Prevention Precludes Expiration"
- D.
"I Prefer Precooked Eggnog"
- 2.What does "A.W.V. / P.P.P.S." stand for?
- A.
"Annual Wellness Visit / Personalized Prevention Plan Services"
- B.
"Applied Warp Vector / Photon Proton Propulsion System"
- C.
"Actual Worm Vomit / Pasturized Pelletized Pureed Snails"
- 3.Mr. Jones just turned 65. He had a 'yearly 'physical' with you 6 months ago. Can he have his "IPPE" now? Or must he wait till a year has passed since his last exam for Medicare to pay for his IPPE?
- A.
He should wait till a year after his last exam.
- B.
He may have his IPPE ("Welcome to Medicare exam") now
- C.
He can have his IPPE any time he feels like it, but no more than 5 per year
- 4.You are a scheduler. Mr. Smith is73 years old. He wants a physical. With just a click (well, 10 or 15 clicks) you learn that he's never had an IPPE or AWV. You should schedule him for :
- A.
An IPPE, since your first Medicare "wellness" exam has to be that
- B.
An "Initial AWV"
- C.
An "AWV - subsequent" since you are confused, and just picked this randomly
- D.
Nothing. Since he didn't come in for his "IPPE" when he was eligible for it, he's not eilgible for any subsequent wellness visits.
- 5.You are a provider. Mrs. Smith was in for her IPPE last year - she was due for a pap smear that year and had it performed. (It was negative). She's here today for her Initial AWV (the "Yearly medicare Follow-up exam") and wants to get "her yearly pap smear" today. You should tell her:
- A.
Sure, Medicare loves to pay for pap smears.
- B.
No, medicare only pays for a pap smear every other year. And only if you are a woman!
- C.
She can have it, but she'll have to pay for it herself
- 6.Mrs. Jones is here for her AWV - Subsequent. But she also has a fever and a cough. In addition to performing all the items included in the AWV, you perform evaluation and management related to her acute symptoms. Can you submit charges for anything beyond the charge for the AWV?
- A.
Yes - you can submit a 99212, 99213, or 99214 in addition, including history elements that were included in the AWV exam to support your charge level calculation.
- B.
Yes, but when calculating the charge level, you can't 'double count' elements that are included in the AWV exam template.
- C.
Nope, you are out of luck. Ask them to come back tomorrow, and submit a separate charge.
- D.
Gee, this is confusing, I think I'll ask Virginia or Anne or Amber.
- 7.The template for the IPPE is found by clicking on the Template icon (upper right part of the screen) and searching for:
- A.
Welcome to Medicare
- B.
IPPE
- C.
Medicare - Welcome To
- 8.The template for the AWV is found by searching in the list of templates under:
- A.
Medicare Yearly Follow-up
- B.
Initial AWV
- C.
AWV - subsequent
- D.
AWV / IPPE / CPAP / VRE / MRSA / ICBM Multi-template
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