Escolar Documentos
Profissional Documentos
Cultura Documentos
say? ABC or
AWV?
Communication and
Medicare Annual
Wellness Visits
One in three patients over 65, and nearly half of all patients
over 75 years of age have some level of difficulty with hearing
• Common causes include loud noises, earwax buildup,
medications, and genetics
Many patients will have hearing aids to assist with hearing
conversations, television, radio, and other common noises
Diagrams Color
Font Size
Font Size
& charts Choice
Visual Impairment Cases
Use of technology
• May be lacking basic knowledge of hardware/software operations
• May not own a computer
• May have a distaste for or a discomfort with technology and the
internet
Telephone encounters
Cognitive Difficulties
Confusion/Dementia
• Orienting/re-orienting the patient
• Consider sticking to yes or no questions rather than open ended
questions
• Avoid interrupting but may lightly help if patient searching for a word
Caregivers
Plain
Teach-back
language
Making
Face to face
communication
conversations
effective
Frequently Frequently
summarize! summarize
Provide
written
instructions
Summary
List of providers
Screenings
• Hearing impairment
• Risk of falling
• Cognitive impairment
• Depression
Preventative health
Review allergies and medications
Psychosocial risks
Behavioral risks
Activities of Daily Living (ADLs), including but not limited to: dressing,
bathing, and walking
Fall Physical
Nutrition
prevention activity
Tobacco-use
Weight loss Resources
cessation
Billing
G0438 G0439
AWV initial AWV subsequent
– MM is a 68 yoF
– PMHx: HTN, HLD, COPD, MI 5 yrs ago
– Medications: albuterol inhaled PRN, aspirin 81 mg po daily, atorvastatin 40
mg po daily, Breo Ellipta 100-25 inhaled daily, carvedilol 25 mg po BID,
lisinopril 20 mg po daily
– Screenings:
– Mammogram 2017
– DEXA 2017
– Immunizations: influenza 2017, pneumonia series completed 2016, Tdap
2016
Possible Interventions
Inhaler
Medication Signs/sx
Specialists technique,
monitoring bleeding
adherence
DEXA results-
Mammogram Colonoscopy Flu, Shingrix
CaVitD?
Activity Time!
What did you
say? ABC or
AWV?
Communication and
Medicare Annual
Wellness Visits