Let’s take a look around the tool’s form areas.
First, the “Encounter” will automatically populate the current appointment, and the “Provider” field will automatically show the provider’s name. It will list previous visits and show a green checkmark beside the visits an ACP was conducted.
The “duration” dropdown gives options for exact minutes spent on the conversation, with the corresponding CPT code. Note: If less than 15 minutes the ACP is not reimbursable but still drops the 1123F code. This is an important moment to ensure you or your providers are capturing the quality codes even if the visit is not reimbursable.
For “Reason,” the default setting will be “annual,” as most providers conduct conversations during Medicare Annual Wellness visits, although you can also have this discussion at all types of appointments, outside of the “Welcome to Medicare” visit, or IPPE visit.
If you are having the conversation in a telehealth environment, simply select the checkbox by “Duration” and that completes the necessary coding from a billing standpoint.
In the header you will notice a BELL and a Question Mark. The Bell is Affirm Health’s announcement feature we use to communicate product enhancements or changes. The Question mark leads you to our reference library and our support help center. There is also a gear located which allows you to set preferences for your individual use.