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Each Maryland Primary Care Physicians practice sets its own policy in this area, ranging from not charging for missed appointments, to not charging for the 1st missed appointment, to charging for each appointment missed. It’s important to remember that when an appointment is missed, that time slot could have been used to serve another patient. To avoid possible confusion, offices that charge patients for missed appointments have signs clearly stating their policy in patient waiting areas.
- Establishment of an individual’s medical/family history.
- Establishment of a list of current providers and suppliers that are regularly involved in providing medical care to the individual.
- Measurement of an individual’s height, weight, BMI (or waist circumference, if appropriate), BP, and other routine measurements as deemed appropriate, based on the beneficiary’s medical/family history.
- Detection of any cognitive impairment that the individual may have as defined in this section.
- Review of the individual’s potential (risk factors) for depression, including current or past experiences with depression or other mood disorders, based on the use of an appropriate screening instrument for persons without a current diagnosis of depression.
- Review of the individual’s functional ability and level of safety based on direct observation, or the use of appropriate screening questions or a screening questionnaire.
- Establishment of a written screening schedule for the individual, such as a checklist for the next 5 to 10 years, as appropriate, based on recommendations of the United States Preventive Services Task Force (USPSTF) and the Advisory Committee on Immunization Practices (ACIP), as well as the individual’s health status, screening history, and age-appropriate preventive services covered by Medicare.
- Establishment of a list of risk factors and conditions for which interventions are recommended or are underway for the individual, and a list of treatment options and their associated risks and benefits.
- Furnishing of personalized health advice to the individual and a referral, as appropriate, to health education or preventive counseling services or programs aimed at reducing identified risk factors and improving self-management, including weight loss, physical activity, smoking cessation, fall prevention, and nutrition.
- Voluntary advance care planning upon agreement with the individual.
This is not a comprehensive medical exam. A comprehensive exam can be scheduled for another visit.