Education

    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); so why aren’t they putting them into practice, or able to successfully yield the benefits when they do? The ongoing challenge for most practices is the operational...

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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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    TCM Overview   Transitional Care Management is a program designed to support and track Medicare patients in the 30 days following discharge from a hospital or treatment facility. Approximately 1 in 5 Medicare beneficiaries in the US are readmitted to the hospital within 30 days of discharge - a 20% readmission rate. TCM programs are designed to connect healthcare providers and patients during this critical 30 day...

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  CCM Overview    The Centers for Medicare and Medicaid Services (CMS) defines chronic conditions as those in which the patient is at significant risk of death, acute exacerbation/decompensation, or functional decline, and are expected to last until the death of the patient.    Chronic disease is rampant in the US, particularly among Medicare patients. Nearly 70% of Medicare beneficiaries have a minimum of two chronic conditions requiring care management,...

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Chronic Care Management (CCM) Remote Patient Management (RPM) Transitional Care Management (TCM) Annual Wellness Visits (AWV)     Medsien offers software and solutions for a suite of services - including CCM, RPM, 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 2021 changes, clarifications or updates.      Chronic Care Management (CCM) CPT Codes                                                            Chronic...

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