An Ounce of Prevention
An essential element of the Medicare annual wellness visit (AWV) is the personalized prevention plan, sometimes referred to as the personalized prevention plan of service or PPPS. During the annual wellness visit, you are expected to create or update the patient's Medicare personalized prevention plan. This requirement is clearly stated, both in the regulations and AWV HCPCS codes descriptors, and yet it is often neglected. When the PPPS is overlooked, the potential ramifications are significant. Providers run the risk of experiencing claims denials, needing to return payments if shortcomings are discovered during audits, and reducing the value of the AWV and PPPS to patients.
Depression is usually a silent illness. Sufferers of depression often don’t realize that the symptoms they are experiencing are even related to depression. Patients may notice changes in sleeping habits, experience weight gain or unexpected weight loss, or have complaints of physical pain symptoms such as back pain or headaches. Given the diversity of depression symptoms, it is common for a patient to go to their primary care provider without realizing that their physical ailments may stem from a mental disorder such as depression. Due to this, primary care providers are well-positioned to be the first to recognize and diagnose depression in their patients.