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Wiki AWV and Nursing Homes

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kbarron

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Can AWV be done in a Nursing Home setting?
 
Any takers on this. I seems to me that it would not qualify as they are in the facility. I can not find anywhere that states nursing homes visits are excluded.
 
kbarron said:
Any takers on this. I seems to me that it would not qualify as they are in the facility. I can not find anywhere that states nursing homes visits are excluded.
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Is the patient on a MED A stay at a skilled level of care? I would see if you could determine that. My concern would be that they would not cover an annual wellness exam if the patient had just discharged from the hospital into a skilled period of coverage. If they are inpatient or outpatient on a part B stay then it might be covered.

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/AnnualWellnessVisit-ICN907786.pdf
 
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