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...
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The Influence of CCM on Health Equity and Social Determinants of Health (SDOH)
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...
Chronic Care Management: 5 Steps to Better Outcomes
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...
Synergy: Chronic Care Management & Value Based Care
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...
Decoding CPT Codes for Chronic Care Management: A Guide for Healthcare Providers
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...