The document provides links to resources about Medicare's Initial Preventive Physical Exam (IPPE) and Annual Wellness Visit (AWV). It includes templates, checklists, and screening tools for conducting the IPPE and AWV. There are links to information on cognitive assessments, health risk assessments, depression screening tests, and other preventive services covered by Medicare. The resources can help providers understand and properly conduct Medicare's preventive benefits.

1. Links
Description Link
Quick Reference Information: The ABC’s of providing the Initial Preventive http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-
Physical Exam MLN/MLNProducts/downloads/MPS_QRI_IPPE001a.pdf
AAFP template for Medicare IPPE exam http://www.aafp.org/fpm/2005/0400/fpm20050400p27-rt1.pdf
Template for Medicare annual well visit http://www.pswipa.com/uploads/Medicare%20Well%20Patient%20Physical.pdf
Quick Reference Information: The ABC’s of Providing the Annual Well Visit http://www.sccma-mcms.org/_images/_userfiles/File/Ref%20Guide%20AWV.pdf
Medicare Learning Network: Preventive Services http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/PreventiveServices.html
“Welcome to Medicare Visit” aka IPPE aka G0402 http://www.capturebilling.com/welcome-to-medicare-visit-ippe
Providing the Annual Well Visit http://www.codingahead.com/2011/08/abcs-of-providing-annual-wellness-visit.html
Medicare Annual Wellness Visit Questionnaire (Courtesy of Maryland Primary Care http://www.medfusion.net/templates/groups/2907/4030/MedicareAnnualWellnessVisitQuestionnaire.pdf
Physicians)
Health Risk Assessment Form http://www.mybraintest.org/dl/Health-Risk-Assessment-Form-MyBrainTest.pdf
Fact Sheet For Cognitive Screening Test Medicare Annual Wellness Visit http://www.mybraintest.org/dl/Cognitive_Screening_Tests_for_Medicare_Annual_Wellness_Visit.pdf
SAGE Test – Self Administered Gerocognitive Examination http://www.mybraintest.org/dl/Sage-Form1.pdf
Short Blessed Test – SBT. Also referred to as Blessed Orientation Memory http://www.mybraintest.org/dl/ShortBlessedTest_WashingtonUniversityVersion.pdf
Concentration (BOMC)
Mental Health America—Depression Screening Test http://www.mentalhealthamerica.net/llw/depression_screen.cfm
Welcome To Medicare Visit ---Patient Information http://www.medicare.gov/people-like-me/new-to-medicare/welcome-to-medicare-visit.html
Medicare Annual Well Visit Starter Kits AWV Portfolio® http://www.mybraintest.org/medicare-cognitive-screening-tests/
Templates for Medicare Wellness Visits, CANS-MCI for Cognitive Impairment http://www.klahealthcare.com/blog/templates-for-medicare-wellness-visits-cans-mci-for-cognitive-impairment
AMA Medicare Preventive Services: A new benefit for Patients and Physicians http://www.ama-assn.org/ama1/pub/upload/mm/433/cpt-medicare-ps.pdf
Medicare Screening Checklist http://www.medicare.gov/navigation/manage-your-health/preventive-services/preventive-service-checklist.aspx
CMS: Understanding Medicare Preventive Services http://www.medicarenhic.com/PA/billing/Understanding%20Medicare%20Preventive%20Services.pdf
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