What is Ambulatory Care, and Why is it Important?
Forget the stark fluorescent lighting and the sterile hum of machinery. Sometimes, the path to the most powerful health doesn’t lead via the imposing doors of a clinic. Instead, it winds through a pleasant, network-targeted maze called ambulatory care. Imagine bustling clinics situated in familiar streets, humming with specialists devoted to keeping you vibrant and […]
CCM VS PCM: How to Choose
In the ever-evolving landscape of healthcare, value-based care has taken center stage. As chronic conditions arise worldwide, there is a need for comprehensive strategies for delivering high-quality healthcare. There was already a care model for patients with multiple chronic conditions and chronic care management, but none for those with only one chronic condition. In 2020, […]
How RPM Improves Chronic Care Management?
Introduction In the ever-evolving healthcare landscape, Remote Patient Monitoring (RPM) has emerged as a transformative tool, revolutionizing chronic care management. Chronic diseases, such as diabetes and hypertension, demand constant attention and personalized care. This article will explore how Remote Patient Monitoring (RPM) contribute to improved regular care, from real-time monitoring to reducing hospitalizations and emergencies. […]
Principal Care Management Rules for Providers
Principal care management (PCM) is a model of care for reimbursement of services provided to patients with one chronic condition. It is similar to the chronic care management (CCM) and transitional care models (TCM), with a bit of difference. In this article, we will provide a comprehensive guide to principal care management (PCM) and the […]
Benefits of Principal Care Management
What is Principal Care Management? At the beginning of 2022, the Center for Medicaid and Medicare Services (CMS) introduced a new care plan called principal care management (PCM). Principal care management is a model of care for reimbursement of healthcare services for treating a patient with one chronic condition. Being drastically similar to chronic care […]
New Principal Care Management Codes
What is Principal Care Management? Principal care management (PCM) is a care management model set for patients with a single chronic disease for three months or more. The patient must have had a recent hospitalization, an acute risk of death, exacerbation, or functional decline, or require management that’s “unusually complex due to comorbidities.” With PCM, […]
What are the Chronic Care Management CPT Codes?
Application of Chronic Conditions CPT codes has transformed how healthcare providers provide treatment to their patients. These rules serve as a foundation for chronic disease treatment, ensuring patients receive the care and attention they require to live full and healthy life. Using CPT codes for chronic care management (CCM) services implies more accurate invoicing and financial […]
Innovating Healthcare with Chronic Care Management
Healthcare is a field that is constantly evolving, and one of the latest innovations in this industry is Chronic Care Management (CCM). CCM is a service that helps patients with two or more chronic conditions manage their health and improve their quality of life. According to Medicare, chronic conditions last at least 12 months or […]
Copay vs Coinsurance : What is the Difference?
COPAY VS COINSURANCE: WHAT IS THE DIFFERENCE? Understanding the distinction between copayment and Coinsurance is extremely important to manage healthcare expenses effectively. Both refer to cost-sharing methods, they, however, work differently to help you pay your healthcare costs according to your financial ease. Health insurance expenses can quickly pile up. Cost sharing is when your […]
Checklist for Successful Integration of Chronic Care Management Program
According to a KFF report, over 67 million people in the United States are enrolled in Medicare and Medicare Advantage programs, and CCM (chronic care management) is a viable new source of revenue for the participating organizations. In fact, healthcare facilities with chronic care management experience an increase in revenue streams in the 2022 Physician […]