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Provider Resources

How Programs With Integrated Behavioral Health Reduce Healthcare Costs

Over the years, the medical field has become increasingly technology-driven because of the countless upgrades and updates that have increased the quality of rendered care.  In most American care centers, there are at least a handful of different devices that are considered as mainstays in a facility’s operations, which is

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Provider Resources

Transitional Care Management: How It Provides Better Patient Care

Patients who come out of confinement often require follow-up care. In light of this, it paved the way for the Transitional Care Management (TCM) concept. TCM is for doctors, specialists, and non-qualifying medical practitioners to provide care to patients who have been discharged from hospitals or other CMS (Centers for

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Provider Resources

The Importance of Going Virtual With Chronic Care Management

With lockdowns and social distancing implemented around the world, it comes as no surprise that businesses are now offering their services online to reach out to their customers. The same is true for healthcare providers, who have now resorted to telemedicine, remote consultations, and other online means of providing the

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Provider Resources

3 Things That Impede Integration of Behavioral Health Practices

With behavioral health integration gaining ground in recent years, more and more patients are now able to enjoy the benefits of a more well-rounded approach to their health and wellness. However, adopting such practices is mainly up to doctors and health practitioners, who must put it upon themselves to reorganize

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Provider Resources

All About Value-Based Care: What You Need to Know

To ensure that employees are healthy, happy, and well-taken care of, it is vital that employers implement a reliable program that cares for the health and safety of their workers at an affordable cost. One effective way to do that is through value-based programs. What Is Value-Based Care? Value-Based Care

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Provider Resources

How the COVID-19 Pandemic Is Reshaping Patient Care Systems

The COVID-19 pandemic has disrupted so many trades and businesses, but especially the healthcare industry. This crisis, however, has caused organizations to reevaluate their practices. Since the pandemic has revealed how costly and inefficient our processes are, it has led to the adoption of more patient-centric best practices, some of

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Provider Resources

Who Is Eligible to Provide Medicare AWV to Beneficiaries?

Often regarded as a necessity in maintaining top health, annual wellness visits (AWVs) have been a staple for most American households. Mostly availed by those that possess personalized prevention plans, these checkups offer a detailed assessment that ensures household members are cleared of potential health problems. In recent years, the

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Provider Resources

The Importance of Chronic Care Management Amid COVID-19

Providing adequate healthcare can be a challenge, especially during this global pandemic that is affecting the world. The priority now in the healthcare industry is to give healthcare services to patients who are affected by COVID-19. Because of this, patients with chronic diseases find it hard to get themselves treated

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Provider Resources

How Chronic Care Management Can Help Doctors During COVID-19

You’ll be hard-pressed to find someone in this world who hasn’t been significantly affected by the ongoing pandemic, especially those working in the medical field. Many health providers have had to resort to new ways of doing things, such as turning face-to-face meetings with their physicians into online video calls.

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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).