Is AWV the same as a yearly Physical?
No. This is a preventative visit guided by the Health Risk Assessment (HRA). It is a conversation to review potential risks identified by the questionnaire. It allows the provider and patient to come up with a plan for the coming year and update the chart to reflect other providers the patient is seeing. This is meant to encourage self-management between office visits. The goal is to identify potential problems and develop a plan to allow patient to improve quality of life, keep the patient independent and avoid unnecessary hospital or emergency room visits.
What is the Health Risk Assessment (HRA)?
This is a questionnaire that is to be completed by the patient prior to their AWV appointment. It asks basic questions about your current health status. It also allows the patient to advise their provider about changes, like medications, recent hospital or emergency room visits. It is very important to take the time to complete the document in full. This form is available on Princeton Medical Group’s website under the patient services menu.
Is there a Copay for AWV?
No. This is a covered service once every 365 days. Screening services that are part of the AWV are covered at 100%. However, if complex medical problems are identified and need to be addressed at the time of the visit that can end up requiring additional billing.
What if the patient has a specific health concern they would like to discuss?
It might be best to schedule a separate visit to talk about this. Per Medicare billing requirements and depending upon the complexity of the problem, specific health conditions we treat during the AWV may result in an extra charge.
What should the patient bring to the AWV?
The completed HRA form, any medical records since the last AWV (including immunization records), a family health history, list of medications (including OTC, vitamins, supplements or herbs) and a list of all the healthcare providers involved in their care.
Is Advanced Care Planning required as part of the AWV?
Advance Care Planning (ACP) is the process of making your long term health care plans known and documented in case of an illness or accident that will not allow you to make decisions about your care. While this is not an easy conversation, it can bring peace of mind knowing that your long term health goals are known and in place in case of emergency situations. This is not required but this is a common conversation that comes up as part of the AWV. Medicare will waive the copay, coinsurance or any deductible associated with this service if it is completed during the AWV.
Can Labs be done at the AWV?
Yes, but these are a separate service from the AWV and subject to usual insurance coverage. They are not covered any differently because they are completed with the AWV.