What is the definition of a routine preventive exam?
A routine preventive exam is technically defined as periodic comprehensive preventive medicine evaluation and management, and includes the following: • Past medical, social and family history • Complete physical exam and review of body systems • Review of medications • Immunizations • Counseling/anticipatory guidance/risk factor reduction interventions • Review of age/gender appropriate screening tests The exam is prevention focused, not problem focused. Why might I receive a bill after my routine preventive exam when it was supposed to be covered at 100%? This exam is prevention focused, not problem focused. If you have a new health problem or other diagnoses that need to be addressed during your preventive office visit, e.g. high blood pressure, diabetes, skin rash, or headaches, your provider may bill part of the exam at 100% for your annual preventive exam and part of your office visit for treatment of your diagnosis. The portion of your visit related to the treatment of your diagn
