Medicare Reimbursement

With the passage of the Patient Protection and Affordable Care Act (PPACA), Medicare patients are eligible for an initial Annual Wellness Visit -- AWVs are not physical exams they are Personalized Prevention Plan Services (PPPS).

Bioanalogics' ELG and software provide a complete solution for an Initial Preventive Physical Examination (IPPE -- G0402) and an Initial Annual Wellness Visit (G0438) 12 months after eligibility of the IPPE and a subsequent Annual Wellness Visit (G0439) 12 months after the initial AWV.

Bioanalogics' HMS, HMS1000 and CyberCare Plan technologies support the requirements of a reimbursable wellness visit with a one-stop system including the following systems:
  • Individual's medical/family history.
  • Diagnostic Data including individual's height, weight, BMI (or waist circumference, if appropriate), blood pressure, and other routine measurements as deemed appropriate, based on the beneficiary's medical/family history.
  • Personal Health Records (current physicians/providers and suppliers that are regularly involved in providing medical care to the individual.
  • 12 Week Patient Guided Health Education Plan
  • Health Risk Appraisal for a range of issues including
    • Arthritis Risk Profile
    • Body Composition Report
    • Cancer Risk Profile
    • Coronary Risk Profile
    • Controllable Risks
    • Diabetes Risk Profile
    • Blood Pressure
    • Exercise Profile
    • Fat In Diet
    • Flexibility
    • Forced Vital Capacity
    • Grip Strength
    • Healthcare Analysis
    • Hypertension Risk Profile
    • Non-controllable Risks
    • Nutrition Profile
    • Osteoporosis Risk Profile
    • Personal Health & Safety
    • Stress Profile
    • Weight Management History
Find out more by exploring the features of the HMS Windows software or the web based CyberCare Plan.