Hello Boondoc,
I was not trying to shoot down the help you were offering. Sorry if my brevity came off like that. The expectation for the medicare wellness exam is just much more detailed than many of us would think of for a typical physical exam. I was surprised myself when I researched on it. The help I was offering was direction to a very nice educational outreach document put out by medicare. It is a checklist of their requirements as well as guidance for billing it. I use the MyPHTS assessments because some patients/families can complete the assessments on their own prior to the office visit and my MAs can help others during the office visit. I round up after I've enlisted my MA's help. I can't remember everything on the check list of medicare expectation of the top of my head nor do I have the time or interest for documenting the thing from scratch by myself. So I leverage MyPHTS templates. Others I know use paper forms for the assessments that patients complete, but then they have to scan into their emr into imported items. Then also like you are suggesting you could develop a template within your emr which you would go through the lengthy process of interviewing the patient yourself.
Anyway to avoid omissions, I thought it would be helpful to just direct others to the source of information.
As brief examples: you would need to use an accepted screening instrument recognized by national professional medical organizations for depression such as PHQ-9 or PHQ-2; review beneficiary functional ability and safety level (fall risk, ADLs, hearing impairment, home safety); use of or exposure to medications and supplements including calcim and vitamins, etc ...
Anyway hope this helps Abhin and others that are interested.
And again, sorry Boondoc . . . I think we're all trying to help each other here.
Have a good evening.
Sincerely,
MKO
