Training and Resources

Upcoming Risk Adjustment Trainings

*Don't miss the Opportunity to join us at this important training or schedule a one to one training with our coders. Contact 562-602-1563 Ext. 311

To: Primary Care Physicians
REMINDER: ANNUAL HEALTH ASSESSMENT REQUIRED FOR ALL SENIOR PATIENTS

An Annual Health Assessment is required for all senior patients. The goal of the annual health assessment is to create a complete health profile of each of your senior patient. The assessment includes evaluating existing medical conditions and screening for other medical conditions based on the patient’s medical history and other risk factors. Please use the following codes, as applicable, when performing an annual health assessment on your senior patient: For a list of your Senior Members please, refer to your monthly capitation report or feel free to contacts us for further assistance.
 

Procedure Code Diagnosis Code Procedure Description
99385-99387 V70.0 Initial comprehensive preventive medicine evaluation and management of an individual
99395-99397 V70.0 Periodic comprehensive preventive medicine reevaluation and management of an individual
G0402 Any appropriate code accepted Initial Preventive Physical Exam (Welcome to Medicare Visit)
G0438 Any appropriate code accepted Annual Wellness Visit, including personalized prevention plan service; First Visit
G0439 Any appropriate code accepted Annual Wellness Visit, including personalized prevention plan service; Subsequent Visit

The “Welcome to Medicare" exam is limited to new beneficiary during the first 12 months of Medicare enrollment

We offer home visit services for your homebound patients that are in need of an Annual Health Assessment Exam. We work with a Home visit program to provide an Annual Wellness Exam to your patients that have not been in to your office within the year. To arrange for this service or for more information, please contact Robin Tufono, RN at (562) 602-1563 x.288.

Tools

  • Current ICD-9 Risk Adjusted Codes File
  • Current Super Bills (PCPs/Specialists)
  • Monthly Coding Tip Memo
  • Signature Log (need new pdf)
  • Risk Adjustment Tool Kit
  • Risk Adjustment Training Request Form (need new pdf)
  • RA Training

HELPFUL LINKS