REMOTE/CHRONIC CARE MANAGEMENT
Remote Care Today - Virtual Care Services
Elevating Patient Care For Seniors, Empowering Staff, & Enhancing Revenue
TURNKEY PATIENT SOLUTION All Done for You
We do it all (No additional staffing on your part)
No upfront expense - No equipment cost
Reduce staffing workload
New staff for your practice at no cost
Happier and more efficient practice
Healthier and happier patients
New net revenue for your practice
We Provide all 24 CPT Codes
We Provide a Medicare Report Card
HOW IT WORKS
With 24 remote care management CPT codes, CMS will pay physicians to provide remote patient monitoring, or a physician may contract with a qualified provider, to provide these services on behalf of the physician.
Regular communication to assure:
Mental & Physical Wellness
Vitals Collected & Transmitted Regularly
Medication Adherence
Healthy Habits /Exercise Adherence
Following Plan of Care
CHRONIC CARE MANAGEMENT (CCM)
is the care coordination that is outside of the regular office visit for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline. It can be delivered to people with many different types of health conditions. CPT: 99490, 99439
REMOTE PHYSIOLOGICAL (or Patient) MONITORING
involves the use of non-face-to-face technology to monitor and analyze physiological metrics of patients’ health such as blood pressure, oxygen saturation, blood oxygen levels, weight gain/loss, etc. CPT: 99454, 99457, 99458
REMOTE THERAPEUTIC MONITORING (RTM)
Tracks a patient’s adherence to a therapeutic plan of care. According to the 2023 CMS Final Rule, RTM technology can be used to measure respiratory system status, musculoskeletal system status, therapy adherence, and therapy response. CPT: 98976, 98980, 98981
BEHAVIORAL HEALTH INTEGRATIONS (BHI)
CMS supports behavioral health practices to provide integrated care and help meet people's behavioral needs, such as social isolation, depressions and cognition housing, all of which can negatively impact a person's ability to manage their care. CPT: 99484
ANNUAL WELLNESS VISIT (AWV)
allows a practice to gain information about the patient, including medical and family history, health risks, and specific vitals. Not to be confused with a complete physical examination, the purpose of the AWV is to review the patient's wellness and develop a personalized prevention plan. For AWV, we do work before or during visit to support doctor such as cognitive screening, depression screening etc. It is exactly what an MA or nurse does in a clinic. The doctor interprets and sets the plan. We support the doctor for the health risk assessment (HRA). CPT: G0439
TRANSITIONAL CARE MANAGEMENT (TCM):
Medicare may cover transitional care services during the 30-day period that begins when a physician discharges a Medicare patient from an inpatient stay and continues for the next 29 days. These services help eligible patients transition back to a community setting after a stay at certain facility types. CPT: 99495, 99496
SOCIAL DETERMINANTS OF HEALTH (SDoH): CMS
strives to improve the collection and use of comprehensive, interoperable, standardized individual-level demographic and social determinants of health (SDoH) data, health literacy, including race, ethnicity, language, gender identity, sex, sexual orientation, disability status, and SDOH. CPT: G0136
CAREGIVER TRAINING SERVICES (CTS)
covers caregiver training services for caregivers involved in the treatment of Medicare patients if both conditions apply:
The training focuses on helping the patient meet the health and treatment goals they set with their doctor or other health care provider.
The patient needs a caregiver’s help for their treatment to succeed.
If the patient’s healthcare provider determines that caregiver training is appropriate for the patient’s treatment plan, the caregiver can get individual or group training sessions from the provider without the patient present. CPT: 99550
COMMUNITY HEALTH INTEGRATION (CHI) & PRINCIPAL ILLNESS NAVIGATION (PIN)
services involve a person-centered assessment to better understand the patient’s life story, care coordination, contextualizing health education, building patient self-advocacy skills, health system navigation, facilitating behavioral change, providing social and emotional support, and facilitating access to community-based social services to address unmet social determinations of health (SDoH) needs. CPT: G0019, G0023
We provide remote in-home cardiac and pulmonary recovery programs:
CARDIAC IN-HOME RECOVERY:
Initial Zoom evaluation by LVHRN cardiologist prior to starting program which is up to three days/week to discuss past medical history and establish a proper treatment plan. Patient receives a starter kit containing equipment needed to participate in class and take their vitals at home: Pulse Oximeter, Therabands, Arm-Bike, Blood Pressure Cuffs, , Bluetooth ECG/EKG monitor which will allow both patients and LVHRN clinicians to monitor real-time results and collect continuous data, Living Well with Heart Disease: Workbook (Heart Disease & Rehab, Healthy Eating, Exercise, Taking Medications, Managing Risk Factors and Emotional Health). 12 Weeks – 36 Sessions.
Hospital Readmission- 8% vs 22%
National Average =64% REDUCTION
Program Completion Rate: 95%
PULMONARY IN-HOME RECOVERY:
Initial Zoom evaluation by LVHRN pulmonologist prior to starting program which is up to three days/week to discuss past medical history and establish a proper treatment plan. Patient receives a starter kit containing equipment needed to participate in class and take their vitals at home, containing: Incentive Spirometer – with (Respiratory Muscle Trainer), Pulse Oximeter, Exercise Bands, vPEP (Flutter Device), Harmonica, Arm or Foot Bike. 12 Weeks (36 Sessions).
Hospital Readmission 2.4% vs 17%
National Average = 86% REDUCTION
Program Completion Rate 96%
We deliver cutting-edge cost-saving solutions and expense reductions to businesses across the USA
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