Q+A Extended
What Is Care Management? Care Management is a suite of Medicare reimbursement programs that reward providers, practices, and health systems for helping patients manage chronic conditions between visits. Launched in 2015 with an initial reimbursement for non-face-to-face clinical support, Care Management has since grown to include more than 25 recurring monthly reimbursements across multiple categories of care. These programs […]
Coming of Age: CCM & RPM Hit Their Stride in 2024
Safety Net Success: A Positive Shift for FQHCs/RHCs Also starting in 2024, a pivotal change is set to empower FQHCs and RHCs—allowing the billing of multiple instances of the general care management code G0511. This transformative move by CMS enables FQHCs/RHCs to bill for Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services per […]
CCM as a Glidepath into Value-based Care
How to build Chronic Care Management into Value-based Care Knowing all of this, one key to improving care, cutting costs and increasing revenue is through available value-based care levers providing a foundation toward more favorable payer negotiation. Along the way you can take advantage of regulatory business models toward scaling the number of patients. The […]
Remote Care and Specialty Medicine | A Spotlight on Cardiology
Market Dynamics Squeezing Cardiology Data on total cost of care and payer shifts to lower reimbursement settings for procedures are among the dynamics pressuring cardiology and heightening the need for value-based care solutions. In another May 2024 report, this by the consulting firm Avalere, it found that total annual 2020 cost of Medicare Parts A and B beneficiaries […]