Wiki Medicare Annual Wellness/Welcome to MCR

[gsereda]

When these codes first came out, we have a form that the patient fills out that asks them about their Medication, social history, depression screen, functional ability/safety screen, etc. The patient would fill out and bring in the room with them to discuss with the Dr. We than would scan into chart.
Our templates are the same format as this questionaire. Do we have to have both? If Dr. is documenting this in note do we need the patient to fill out?
Thank you for you help. Gail Sereda

 

[Kisalyn]

If it's in the patient's medical record, then you don't need both. However, I have a physician that likes to send the questionnaire to patients beforehand. When the patient comes to the visit, the nurse enters the information after rooming the patient. Some of the template is then ready for when the physician sits down and goes over the questions. The physician then completes the rest of the evaluation and closes the chart.