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bp monitoring
Provider Resources

How Remote Patient Monitoring Helps in Managing Hypertension

In medicine, remote patient monitoring (RPM) is a technology that allows a medical provider to monitor patients outside a conventional clinic setting. It uses a Bluetooth device to capture the patient’s health and measure physiological data information to share it or transmit it to a healthcare professional for diagnosis and

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Provider Resources

The Important Things to Look Out for in an RPM Device

Remote patient monitoring (RPM) devices are very important for a senior citizen’s continuous care. Instead of heading out numerous times for their checkups and medical procedures, they may simply utilize the device to save time! However, before you can even think of acquiring one, there are a couple of important

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Patient Resources

Understanding the Basics of Principal Care Management

The Centers for Medicare and Medicaid Services (CMS) released a program in 2020 called Principal Care Management (PCM), open to primary care providers and specialists. This program was specially developed to serve people with one chronic condition, supplementary to the Chronic Care Management (CCM) program (which focuses on two or

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heart health
Provider Resources

Why You Should Discuss Heart Health With Your Doctor

Heart disease isn’t reserved for older individuals. No matter your age, heart disease can become a risk. Between 1995 and 2004, the rate of heart attacks in those aged 35 to 54 rose from 27% to 32%. In the last ten years, the chances of people under 40 experiencing a

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Remote Patient Management
Provider Resources

What Is New in Remote Patient Management in 2020?

The Centers for Medicare and Medicaid Services released the 2020 Medicare Physician Fee Schedule Final Rule last November 1, 2019. This update gives more information on policies, rates, and additional provisions for chronic care management services starting January 1, 2020. According to the 2020 Physician Fee Schedule, there will be an increase

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Principal Care Management
Provider Resources

Principal Care Management (PCM) Update for 2020 – What to Know

The Centers for Medicare and Medicaid Services (CMS) has recently introduced two reimbursement processes under Principal Care Management (PCM) this 2020. These processes may appear similar to the current Chronic Care Management (CCM) program offered by Medicare, but it has a few key differences. If you want to understand them

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Provider Resources

2020 Updates on CMS Chronic Care Management – What to Know

Chronic care management or CCM aims to help patients improve their quality of life. With continuous monitoring, patients can reduce their symptoms, sleep well, and become more physically fit. Care providers use codes to differentiate among patients’ needs. They tag cases with codes 99490, 99487, 99489, and 99491.  Providers assign the first type,

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Provider Resources

Case Management & Value-Based Healthcare—Why It’s Essential Today

In today’s age, the term “value-based” healthcare is continually gaining traction—but the implementation is far from perfect. Through it, healthcare treatments aren’t solely focused on providing treatments for profit; healthcare practitioners are becoming more mindful of the results for an overall better quality of life for the patient. Helping further

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Provider Resources

Benefits of Annual Medical Wellness Visits for Your Clinic

A primary care provider can offer yearly appointments to their patients through the Annual Wellness Visit or AWV. Medicare Annual Wellness Visits let practices improve a patient’s health, increase a clinic’s revenue, and improve their quality scores through value-based reimbursement programs.  This service helps providers create a personalized prevention plan

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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).