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Millions of Americans are suffering from hypertension, which needs consistent treatment and control to avoid problems. This is a situation where chronic care management plays a crucial role. CCM is a holistic approach to managing chronic diseases like hypertension...
Medicare expects providers to perform CCM services. The Centres for Medicare and Medicaid Services (CMS) consider CCM as an essential component of primary care which leads to better health and care for the patients. According to Medicare claims data, CCM can reduce...
Health care professionals no longer have a point of reference which once they assumed that the individual responsible for the planning and organization of the care of chronically ill patients was the Primary Care Physician. The medical profession has realized that...
The CMS initiated Chronic Care Management on January 1st, 2015, and permits a practice to bill for non-face-to-face coordination services monthly using billing code CPT 99490. CMS brought in this code to meet the needs of patients who are chronically ill, more so...
PCM was added to CMS as a Part B benefit in 2022, and CCM has been in existence since 2014 but got new codes and guidelines in 2021 and 2022. The data on the use of CMS are provided, and according to them, the rates of utilization remain low; the agency has issued...
Social determinants of health have a substantial impact on the health outcomes of patients. Medical facilities must recognize and adapt to SDOH demands if they want to achieve health equity for individuals from all demographic groups. This holds true for all practices...
The number of adults with chronic health conditions has reached 117 million in the U.S. - accounting for 90% of all healthcare expenses. Approximately 42% of Americans have 2+ chronic conditions. Chronic conditions are putting a serious strain on healthcare and need a...
Value-Based Care vs Fee-for-Service The American healthcare landscape is seeing a gradual shift away from fee-for-service (FFS) as a way to deliver healthcare. Value Based Care (VBC) is more than a trend now, it is a strategy that all physicians and hospitals...
Managing chronic conditions is not just about direct patient care but also about providing comprehensive support that extends beyond traditional office visits. Chronic Care Management (CCM) is a Medicare program that compensates care navigators for providing...