Transitional Care Management

From acute care to managed care - 1970’s and 1980’s Prior to and through the 1970’s most healthcare was delivered and paid for using the traditional acute care model - treating patients for ailments and symptoms of acute illness as they occurred. By the early 1980’s medicine saw a significant shift from decades of acute care to a managed care model.   The effort to adapt and increase...

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  Potential Recession Impact on Health care Industry and Medical Providers    Recessions can impact a facility or provider’s bottom-line, patient care and health outcomes. Leading research shows the key factors that can impact the healthcare industry during a recession are:    Insurance Loss Increases. Job loss increases during a recession often cause employer-based insurance coverage loss. Most patients will not seek (necessary) care without coverage. Price Sensitivity and Reduced Ability...

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Medsien’s Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) programs are successful because of the company’s integrity, reliability and quality related to patient care, practice support and superior software and technology. Using our unique staffing and highly sophisticated technology model, Medsien has created unrivaled platforms that focus on patient care, supporting practices and using our software and technology expertise to create programs that far...

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  CLINICAL CARE AND CONNECTION - THE HEART OF WHO WE ARE      What is A Medsien Medical Assistant   Medical Assistants (MAs) are an essential part of successful care management. At Medsien the two things that make our remote care programs so successful are our unique proprietary software and our staffing model. The staffing model is our staff of highly qualified and compassionate Care Partners. We have our own...

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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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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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    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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