Romel,

Thank you as well for your post and comments and just realized the above link did not work, but if you scroll near bottom of article on this link and click on check list, this will show about end of life discussion. But you are right some of this stuff is vague and I think a multifaceted approach is quite acceptable.

http://www.acponline.org/running_practice/payment_coding/medicare/annual_wellness_visit.htm


jimmie
internal medicine
gab.com/jimmievanagon