AWV PERSONALIZED ACTION PLAN Guide to Action Plan for Spe Wehealny Form

Instructions and help about AWV PERSONALIZED ACTION PLAN Guide To Action Plan For Spe Wehealny

OFFICE MANAGER: I mean, look at these claims. Denied, approved, denied, denied, approved. I can’t make sense of it. Why would Medicare cover some of these physicals and not others? It seems random. PHYSICIAN: I doubt they’re just rolling the dice. Maybe we’re getting denials for errors we’re not catching. Let’s tackle the first claim and figure out where we went wrong. OFFICE MANAGER: I wish someone could guide us down the right path, usher along our quest for answers. PHYSICIAN: Let’s call the MAC! Dial tone. Numbers being dialed. Phone ringing. MAC: Medicare Administrative Contractor. How may I assist you? OFFICE MANAGER: Hi, so Medicare denied our claim for this office visit… What kind of visit? An Initial Preventive Physical Exam? An Annual Wellness Visit? Or a Routine Physical Checkup? OFFICE MANAGER: Aren’t those the same thing? PHYSICIAN: Not exactly. They’re like apples and oranges and... mangoes. MAC: Medicare does not cover Routine Physical Checkups, but