Chronic Care Management in Urology: Enhancing Patient Outcomes

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 chronic diseases are resolved by referring the patient to practitioners who are more conversant with the details of the disease. To further illustrate the problem, patients with chronic diseases get several referrals to various specialists.

Now, a patient has to coordinate with not only the PCP but also multiple specialists who can be located in different practices and attempt to do so without getting lost in the process. In 2015, CMS realized the need for the management of services for chronic illness patients and subsequently put into place a reimbursement plan to ensure that specialists provided better care to those with chronic diseases that require their services.

This would help a patient not to worry with the assurance of the many providers ensuring that they were aligning their treatment plan and ensuring that they were offering better care. Urologists interact with patients with one or more chronic diseases such as Interstitial Cystitis, Prostatitis, Benign Prostatic Hyperplasia, Erectile Dysfunction, or urologic cancers. Therefore, Urologists need to think about the application of Chronic Care Management for Urology. It can result in better patient involvement, patient health, revenues, and clinical processes.

Advantages of outsourcing Chronic Care Management (CCM) services

While you may be prepared for the good effects that CCM can have on your practice, some practices lack the in-house resources for the management of CCM on their own. By partnering with chronic care management urology vendors empowers clinicians to make this change while receiving the benefits of chronic care management.

 Care Coordination Services:

A quality vendor of Chronic Care Management for Urology operates as specialists in the field. They comprehend Chronic Care Management to the core and understand what needs to be done to ensure that your practice does not fall foul of the rules or lag in the race to better care coordination.

Representatives serve as agents in your practice to ensure that patients are following their treatment plan and are compliant when it comes to their medications. With outsourcing of Chronic Care Management for Urology you are now able to extend help to your patients when they need it. A quality vendor is aware of the measures to be taken to enhance the experience and care of your patient during the monthly care coordination calls.

2) Patient Awareness:

In an ideal world where a provider could enroll their patient in these life-saving services, there is no doubt that he or she would do so freely; however, under the CCM for Urology rules, a provider must ensure that his/her patient understands and agrees to the use of the services. This takes time and effort that providers do not have an excess of. Essentially, a vendor of Chronic Care Management for Urology is tasked with enhancing patient awareness and enhancing the admission of patients into the CCM services within your Urology facility.

This service is provided under Medicare and is therefore likely to attract your annual deductible and coinsurance charge, which is 20%. Your coinsurance may be covered if you have a secondary or supplemental insurance plan. It is advisable to read in detail what your insurance plan entails to avoid such situations