Leila Keegan’s Post

CPT (Current Procedural Terminology) codes are standardized numeric codes used in the healthcare industry to describe medical, surgical, and diagnostic services provided by healthcare professionals. These codes are maintained by the American Medical Association (AMA) and are used for billing and reimbursement purposes, as well as to track and analyze healthcare services. CMS (Centers for Medicare & Medicaid Services) is increasingly focusing on reimbursing doctors for using CPT codes in remote patient care to help improve patient health outcomes for several reasons: 1. Expanding access to care: By reimbursing for remote services, CMS encourages healthcare providers to offer care to patients who may have difficulty accessing in-person visits, especially those in rural or underserved areas. 2. Promoting preventive care: Remote patient monitoring and telehealth services allow for more frequent check-ins and early intervention, potentially preventing more serious health issues and reducing overall healthcare costs. 3. Improving chronic disease management: Many new codes and reimbursement policies focus on managing chronic conditions, which can be effectively monitored and treated remotely. 4. Enhancing care coordination: CPT codes for care management services encourage healthcare providers to coordinate care across different specialties and settings, leading to more comprehensive patient care. 5. Addressing social determinants of health: CMS is introducing new codes and reimbursement policies for services that address health-related social needs, recognizing their impact on overall health outcomes. 6. Supporting behavioral health integration: New codes and policies allow for better integration of behavioral health services into primary care settings, improving access to mental health care. 7. Encouraging innovation in healthcare delivery: By reimbursing for new types of services and care models, CMS incentivizes healthcare providers to adopt innovative approaches to patient care. 8. Reducing healthcare costs: Remote patient care can potentially reduce hospitalizations and emergency room visits, leading to overall cost savings for the healthcare system. By using CPT codes to reimburse for these services, CMS can track the utilization and effectiveness of various interventions, allowing for data-driven improvements in healthcare policy and practice. This approach aligns with CMS's broader goals of improving healthcare quality, accessibility, and affordability while shifting towards value-based care models. Let's talk : https://lnkd.in/gi8QJf5t #cptcodes #remotecare #patientcare #cms #medicare #medicarereimbursement #remotepatientcare

When patients leave the hospital, care shouldn't stop. Transitional Care Management (TCM) ensures patients are supported during those critical first days back home, reducing the risk of readmission. At CHESS Health Solutions, we're helping healthcare organizations streamline this process, making sure patients get the follow-up they need when they're the most vulnerable. Better coordination, fewer hospital visits, and improved outcomes --- TCM plays a big role in meeting these goals. Check out our latest article on how TCM is making a difference in patient care.

Improve your Hospital/Clinic performance by implementing CallCare24’s AI based Chrinic Care Management (CCM) platform. CCM reduces the cost for patients atleaat by 50-60%, and Hospitals/Clinics can provide a better engagement model while patients can stay at home by reducing readmissions by 75%. #PatientEngagement #ChronicCare #VirtualHealth

Improve Patient engagement through callcare24 🏥 - Improve patient Personalized Care Callcare24's patient engagement services play a crucial role in improving personalized care for patients .Callcare24 ensures that patients are actively involved in their care plans, leading to better health outcomes and a higher quality of life through personalized communication, education, and support, Callcare24 empowers patients to take control of their health and receive care that is customized to their individual needs and preferences. - Reduce the readmission by 75% Callcare24 patient engagement services have successfully reduced patient readmission rates by an impressive 75% through our proactive monitoring, personalized care plans, and comprehensive patient support. Callcare24 ensures that patients receive the necessary attention and interventions to prevent complications and avoid unnecessary hospital readmissions. callcare24 patient engagement services helps healthcare providers to effectively manage chronic conditions, improve patient outcomes, and reduce healthcare costs associated with preventable readmissions. - Increase in Preventive Care and Early Intervention Callcare24's patient engagement services helps in promoting preventive care and early intervention by fostering proactive communication, empowering patients with education and resources, and facilitating timely interactions with healthcare providers.Callcare24 empowers patients to prioritize their health, adhere to preventive measures, and seek timely medical attention when needed, ultimately leading to improved health outcomes and reduced healthcare costs. - Improve enhanced communications Callcare24's patient engagement services significantly enhance communication between patients and healthcare providers.Callcare24 ensures that patients receive timely information, guidance, and encouragement, leading to improved health outcomes and overall satisfaction with their care. 🌏 www.callcare24.com 📞 +1 832 726 0808 ✉ sales@callcare24.com #patientengagement #patientexperience #ehr #healthcare #emr #physician #doctors #practicemanagement #physicianpractice #medicalbilling #doctorsoffice #revenuegrowth #healthmanagement #hospitalmanagement #doctorsolutions #hospitalbilling #practicegrowth

Considerations on how to promote a variety of practice options for physicians including private practice is top of mind. Pros and cons of all practice models. It's important to remember horizontal and vertical integration doesn't reduce overall healthcare cost. We would benefit from tools for private practice to measure their quality and cost. Healthcare leaders that champion healthcare value are heroes! #healthcarevalue

By doubling down on #carecoordination efforts through post-acute data transparency, Real Time's Phyllis Wojtusik, RN showcases how risk-bearing providers can drive #ValueVasedCare initiatives with their Post-Acute Network partners. Learn how live post-acute data is being used to deliver effective care transitions, establish clinical pathways, monitor high-risk patients, lower length of stays, reduce readmissions, and increase network referrals. 11.7.24 at the #FallManagedCareForum hosted by NAMCP Medical Directors Institute, American Association of Integrated Healthcare Delivery Systems (AAIHDS), and AAMCN Learn more: https://bit.ly/4ht19fm #InterventionalAnalytics #PostAcuteAnalytics #ACO #AccountableCareOrganization #Payers #PostAcuteCare #MedicareSpend #PopulationHealth #ManagedCare #VBC

🚨Important Notice for Healthcare Professionals: Required CMS Inpatient THA/TKA PRO-PM Measures🚨. The data collection period is already underway. Hospitals performing inpatient THA and TKA are required to collect and report baseline data and PROMs to CMS. Compliance is vital; incomplete data can lead to a 25% cut in the Annual Payment Update (typically 2-4%) for all Medicare Fee-for-Service Part A claims and disqualification from value-based purchasing programs. 💡Want to know more? Book a Demo Today - https://lnkd.in/g76zajDh #Healthcare #CMS #THA #TKA #PatientOutcomes #PROMs #ValueBasedCare #Outcomes #Outcomesnotopinions

In 2023, Duke University Health System made significant enhancements to an automated waitlist feature to offer patients access to healthcare providers as earlier appointments become available. Fast Pass waitlist functionality utilizes Duke’s electronic health record system to identify available clinic slots, offering as soon as same day appointments to patients. Patients are conveniently notified about available appointments through email or text messages, with an easy-to-use link to My Duke Health (formerly known as Duke MyChart) where they can accept or decline the offer for their earlier appointment. Patients are automatically enrolled in Fast Pass at participating Duke Health clinics.  Fast Pass is now fully integrated into nearly 250 clinics across Duke Health. This expansion has substantially improved patient lead times, with patients seeing providers, on average, up to 30 days sooner. The program's effectiveness is further underscored by its utilization, filling an average of 9,000 clinic slots per month. Moreover, patients are more likely to show for appointments scheduled by Fast Pass, proven by a decreased no show rate of 5% compared to 9% of similar visit types. This improvement is not only a testament to the program's efficiency but also reflects our commitment to ensuring that our community receives the best possible healthcare experience. The Fast Pass App is powered by MyChart® licensed from Epic Systems Corporation, © 1999-2024.

Check out this informative and updated article from the AMA outlining all things Value-Based Care. https://lnkd.in/gRurf9Fy Remote Patient Monitoring (RPM) offers an innovative approach to patient management that drives positive outcomes, reduces hospital readmissions, and helps practices achieve measurable value. Why Value-Based Care + RPM? 🚀 Enhanced Patient Engagement – RPM provides proactive health monitoring, empowering patients to take control of their wellness and enabling providers to address health concerns before they escalate. 📈 Improved Financial Health – With value-based care incentives tied to quality measures, RPM can help boost revenue through preventative care, benefiting both patients and practices. 💼 Streamlined Workflows – Our RPM solution integrates smoothly into existing operations, reducing the workload on clinical staff and allowing providers to focus more on patient interactions. At Telecare, we're dedicated to supporting healthcare practices through RPM, delivering tools and data that bring value-based care to life. Ready to explore how RPM can transform patient outcomes in your practice? #Telecare #ValueBasedCare #RPM #RemotePatientMonitoring #HealthcareInnovation #PatientOutcomes #HealthcarePractices #PreventativeCare #HealthcareTechnology #Physicians

🚨Important Update for Healthcare Professionals: Mandatory CMS Inpatient THA/TKA PRO-PM Measures🚨 Starting July 1, 2024, hospitals performing inpatient total hip arthroplasty (THA) and total knee arthroplasty (TKA) will be required to collect and report baseline data and Patient-Reported Outcome Measures (PROMs) to CMS. Compliance is crucial, as incomplete data reporting can result in a 25% reduction in the Annual Payment Update (usually 2-4%) for all Medicare Fee-for-Service Part A claims and disqualification from Medicare value-based purchasing programs. The ultimate goal? Quantifying pain and functional improvements to improve patient outcomes. Here’s what you need to know: ⭐ Who’s Included: - Age 65+ - Medicare fee-for-service patients - Primary elective inpatient THA/TKA ⭐Key Deadlines: -Pre-op data collection: Up to 90 days before the procedure -Post-op data collection: 300–425 days post-procedure -Also note that there will need to be compliance of 50% pre and post. Reporting began April 2, 2024, with outcomes publicly reported by CMS in 2027. ⭐ Data Required: -Functional assessments (KOOS Jr., HOOS Jr.) -Pre-op risk variables (e.g., PROMIS-10, VR-12) Non-compliance can cost hospitals millions in lost Medicare reimbursements, making early preparation and robust data collection systems essential. Let’s ensure we’re meeting these requirements to support better patient outcomes and financial health. 💡Want to know more? Book a Demo Today - https://lnkd.in/g76zajDh #Healthcare #CMS #THA #TKA #PatientOutcomes #PROMs #ValueBasedCare #Outcomes #Outcomesnotopinions