Form preview

Get the free Initial Preventive Physical Exam & Annual Wellness Visit

Get Form
Medicare Preventive Services Initial Preventive Physical Exam & Annual Wellness Visit SELMA TutorialIndex Introduction2Five Medicare Preventive Services3The Key to these codes: No cost to the patient
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign initial preventive physical exam

Edit
Edit your initial preventive physical exam form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your initial preventive physical exam form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing initial preventive physical exam online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Check your account. It's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit initial preventive physical exam. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you could have ever thought. You can sign up for an account to see for yourself.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out initial preventive physical exam

Illustration

Who needs an initial preventive physical exam?

01
Individuals who have Medicare Part B coverage are eligible for an initial preventive physical exam (IPPE). This exam is available to those who have had Medicare Part B for less than 12 months.
02
It is particularly important for those who have just become eligible for Medicare to schedule an IPPE as it allows healthcare providers to establish a baseline of their health and provide relevant preventative services.
03
Medicare beneficiaries who have had an IPPE within the past 12 months are not eligible for another IPPE.

How to fill out an initial preventive physical exam:

01
Schedule an appointment with your healthcare provider who accepts Medicare. Inform them that you would like to have an initial preventive physical exam.
02
Make sure to bring your Medicare identification card and any other relevant healthcare documentation.
03
Before your appointment, gather and organize any medical records, current medications, and information about your medical history. This will help your healthcare provider better understand your health status.
04
During the IPPE, your healthcare provider will review your medical history, including any current or previous medical conditions, medications, surgeries, and allergies.
05
They will also assess your overall health by conducting a physical examination, which may include measuring your blood pressure, checking your height and weight, listening to your heart and lungs, and examining your skin, eyes, and ears.
06
Your healthcare provider will discuss your risk factors, provide education on preventative measures, and develop a personalized healthcare plan based on your individual needs.
07
They may also order additional screenings or laboratory tests, if necessary.
08
Don't forget to ask any questions or concerns you may have during the exam. Your healthcare provider is there to help you optimize your health and address any medical issues.
09
After the IPPE, work with your healthcare provider to carry out the recommended preventative measures and follow-up appointments, as well as any necessary lifestyle changes.
10
Keep track of your IPPE dates and communicate with your healthcare provider to ensure you receive timely preventative care.
Remember, an initial preventive physical exam is an excellent opportunity to establish a foundation of preventative care and promote your overall well-being.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.7
Satisfied
34 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

By combining pdfFiller with Google Docs, you can generate fillable forms directly in Google Drive. No need to leave Google Drive to make edits or sign documents, including initial preventive physical exam. Use pdfFiller's features in Google Drive to handle documents on any internet-connected device.
It's easy to make your eSignature with pdfFiller, and then you can sign your initial preventive physical exam right from your Gmail inbox with the help of pdfFiller's add-on for Gmail. This is a very important point: You must sign up for an account so that you can save your signatures and signed documents.
On Android, use the pdfFiller mobile app to finish your initial preventive physical exam. Adding, editing, deleting text, signing, annotating, and more are all available with the app. All you need is a smartphone and internet.
The initial preventive physical exam (IPPE) is a comprehensive preventive health assessment for individuals who are new to Medicare.
Individuals who are new to Medicare are required to receive an initial preventive physical exam.
To fill out an initial preventive physical exam, individuals must schedule an appointment with a healthcare provider who accepts Medicare, and the exam will be performed according to Medicare guidelines.
The purpose of the initial preventive physical exam is to assess an individual's health status and provide personalized preventive care services.
The initial preventive physical exam typically includes a review of medical and social history, measurements of height, weight, and blood pressure, and a review of potential risk factors for certain diseases.
Fill out your initial preventive physical exam online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.