Comprehensive Visit Program
We encourage our members to receive both their Medicare Annual Wellness Visit and annual physical exam each year.
While Original Medicare only covers the Annual Wellness Visit, Generations Advantage covers both at a $0 copay.
These preventive visits serve as the primary platform for the annual assessment and documentation of each member’s health.
We encourage our members to schedule these two services back-to-back in one longer appointment that we call a “Comprehensive Visit.” This affords primary care providers time to examine and develop health goals with their patients and to document the visit.
How It Works
At the beginning of each year, Martin’s Point will send you a “Comprehensive Visit Form” for each of your qualifying Generations Advantage patients—if you have not received a form for a qualifying patient, please contact us at [email protected].
The "Comprehensive Visit Form" will:
- List each patient’s previously reported chronic conditions
- Ask for verification or denial of the continued existence of each of those conditions
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1. To promote the health of our members and patients.
Together, the Medicare Annual Wellness Visit and the annual physical exam promote:
- Early detection and treatment of acute and chronic conditions
- Development of care plans to close gaps in care and meet CMS-prescribed quality measures
- Access to our free disease-management programs
2. To comply with the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage program requirements to validate applicable diagnosis data each year.
Generations Advantage and our network providers share responsibility for the documentation that we are required to submit to CMS regarding the health status of our members/your patients.
Our goal is to document existing diagnoses and identify diagnoses that may have been reported in error—accurately capturing the current health status of Generations Advantage members/patients.
Earn Patient-Centered Payments
Providers may earn Patient-Centered Payments for their patient's Comprehensive Visits. A Generations Advantage-participating primary care provider at your practice must render the exam. The exam should include a full system review and documentation of all current conditions, severities, and comorbidities.
The Comprehensive Visit Form can be completed during one of the following visit types:
*Some of these visit types may require member cost shares.