Preventive Care Recall

Book Wellness Visits Without the "Annual Physical" Mix-Up

Patients ask for a physical and mean the Medicare wellness visit. Explain the difference, apply the timing rules, and book the right visit type.

How it pays back

Book the Visit the Chart Will Actually Support

When a patient says "I need my annual" and the front desk books a physical, the visit that occurs, the visit scheduled, and the visit the plan will pay for can be three different things. The phone call is the cheapest place to resolve which benefit they mean.

Recall Calls Actually Get Made

Preventive recall is the first task dropped when the front desk is underwater, because nothing visibly breaks when it is skipped. Recall that runs regardless of inbound volume turns a list sitting in a report into booked appointments and documented declines.

Patients Arrive Knowing What the Visit Is

A wellness visit the patient expected to be a physical produces a difficult conversation in the room and a confused reaction to the bill. Explaining the scope on the booking call, in your approved wording, aligns expectation with reality.

Preventive Gaps Are Worked Between Visits

Outreach for overdue screenings and chronic-care follow-up competes with today's phone queue and loses every time. Handling it as scheduled outbound work, with structured outcomes, gives quality reporting something to act on.

Wellness visit vs. physical explained on the call

Scope and benefit distinction delivered in your practice's approved wording, before booking

Outbound recall on your list

Due, overdue, and lapsed patients worked from the report your practice produces

Dozens of languages

Recall and wellness-visit calls handled in the patient's language, including through a caregiver's phone

Frequently asked questions

Can the AI tell a patient whether their annual physical is covered?

It delivers your approved wording on the scope of a Medicare wellness visit and the fact that a routine physical exam is not a Medicare-covered benefit, then directs coverage questions to the plan. It does not quote benefits or estimate patient responsibility.

How does it know whether a patient is eligible for a wellness visit this year?

By applying the interval rules to the dates your system provides, primarily the last wellness visit date and Part B start date. Where that data is not accessible it asks the patient, books provisionally, and flags the appointment for staff to confirm rather than asserting eligibility it cannot verify.

Does it treat the Welcome to Medicare visit differently?

Yes, because the rules differ materially. The initial preventive physical examination is a once-per-lifetime benefit limited to the first twelve months of Part B enrollment, and it is a separate visit from the initial Annual Wellness Visit that follows. Practices configure a distinct slot type for it.

What if the patient wants to discuss a problem at the wellness visit?

The request is captured and flagged on the appointment so your scheduling and documentation workflow can account for it. The AI does not decide whether the problem can be addressed at the same encounter, or how it should be coded. It surfaces the request early enough for your team to decide.

Does this only apply to Medicare patients?

No. The same workflow covers commercial preventive visits, pediatric and adolescent well visits, and chronic-care follow-up recall. Medicare wellness visits get specific handling because their timing rules and scope generate the most front-desk confusion, not because the rest is out of scope.

Related reading

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Medicare Annual Wellness Visit Calls and Recall | Medreception AI