Education

Chronic Care Management (CCM) Principal Care Management (PCM) Remote Physiologic Management (RPM) Remote Therapeutic Management (RTM) Transitional Care Management (TCM) Annual Wellness Visits (AWV)     Medsien offers software and solutions for a suite of services - including CCM, PCM, RPM, RTM, TCM and AWVs.  Accurate coding is essential for proper reimbursement.  Below you will find the current CPT codes for each service and program we provide. These include any notable 2022 changes, clarifications...

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On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the 2022 Medicare Physician Fee Schedule Final Rule. The biggest takeaways impacting Medsien clients are that care management services are here to stay - CMS has significantly increased the reimbursement and added additional codes and categories within care management services. They have expanded the code set for care management to include Chronic...

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  You are busy, and do not have the staff or time to implement a care management program. Your practice can’t invest the money for care management right now. We understand that. Medsien care management programs are different. We take care of implementing and staffing your care management programs, and require no upfront investment. We help you have care management and all its benefits for your...

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At Medsien, we work as partners with our clients to ensure smooth, well-integrated remote care programs. Medsien’s approach of tracking and reporting, staffing, integration, and full communication is unique -- ensures transparency and compliance for every practice or health system.    We implement a detailed, accurate program so you can run your CCM and RPM with confidence and ease. The design of our programs, and specifically the...

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  RPM programs continuously track patients’ important vitals using cellular-connected devices and keep providers informed of important changes and trends in patient health.  A successful RPM program, however, must go beyond simply having the devices to monitor patients’ health status and data. Robust patient engagement is needed to drive successful use of RPM programs, and increase patient satisfaction. Medical practices and providers often think they have...

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The cost of care for most chronic disease is quite high. Unmanaged diabetes, heart disease, and various other conditions often result in many expensive interventions, hospitalizations and poor outcomes. Many unmanaged chronic conditions lead to more emergency room (ED) visits, hospital admissions, more severe illness/co-morbidities and death.     Chronic Care Management, or CCM, is the coordination of care services, which are furnished outside of regular office visits....

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PCM Overview CMS reimburses for Principal Care Management (PCM) services provided to beneficiaries with a single chronic condition needing to stabilize that condition following exacerbation or hospitalization. Unlike CCM, which requires a minimum of two conditions and the management of total patient care, PCM focuses on disease-specific care. The qualifying condition for reporting PCM codes would be a patient with one serious chronic condition, typically expected...

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    Clinical providers and policymakers have been talking about the quality improvement and cost-saving benefits of chronic disease management for some time. Most medical practices are fully aware of the clinical and cost benefits of Chronic Care Management (CCM) and Remote Patient Monitoring (RPM); so why aren’t they putting them into practice, or able to successfully yield the benefits when they do? The ongoing challenge for...

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    RPM Overview    Remote patient monitoring (RPM) programs (a subcategory of homecare telehealth), retrieve patient health status and data readings from automated personal devices a patient has or wears at home (e.g.heart or glucose monitor). Common physiological data that can be collected with RPM programs include vital signs, weight, blood pressure and heart rate. Data is transferred directly back to providers which allows the care team to...

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    AWV Overview   The Annual Wellness Visit (AWV) is a Medicare specific annual health status check where patients have vitals and health status indicators assessed, to provide an opportunity for earlier support and intervention for chronic conditions or concerns. An AWV is not the same type of exam as an annual physical.  AWVs and annual physicals are assessed and billed differently.  An AWV is only for Medicare...

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