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  • billing – MediCaring.org
    an example of the helpful tables that you ll find in this spreadsheet and a link to the spreadsheet http medicaring org wp content uploads 2015 10 altarum cpt spreadsheet oct2015 xlsx CMS decision to provide payment codes is a step in the right direction Although there have been some obstacles we hope that the final rule in November will provide more direction and clarity Providers and clinics should recognize the opportunity they have to hire appropriate staff full or part time employees or contractors to counsel for wellness visits to attend to transitions with care and to develop care plans and implement them over time Wellness visits were established in 2011 and establish a Personalized Prevention Plan and Health Risk Assessment Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS

    Original URL path: http://medicaring.org/tag/billing/ (2016-04-30)
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  • chronic care management – MediCaring.org
    an example of the helpful tables that you ll find in this spreadsheet and a link to the spreadsheet http medicaring org wp content uploads 2015 10 altarum cpt spreadsheet oct2015 xlsx CMS decision to provide payment codes is a step in the right direction Although there have been some obstacles we hope that the final rule in November will provide more direction and clarity Providers and clinics should recognize the opportunity they have to hire appropriate staff full or part time employees or contractors to counsel for wellness visits to attend to transitions with care and to develop care plans and implement them over time Wellness visits were established in 2011 and establish a Personalized Prevention Plan and Health Risk Assessment Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS

    Original URL path: http://medicaring.org/tag/chronic-care-management/ (2016-04-30)
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  • excel – MediCaring.org
    an example of the helpful tables that you ll find in this spreadsheet and a link to the spreadsheet http medicaring org wp content uploads 2015 10 altarum cpt spreadsheet oct2015 xlsx CMS decision to provide payment codes is a step in the right direction Although there have been some obstacles we hope that the final rule in November will provide more direction and clarity Providers and clinics should recognize the opportunity they have to hire appropriate staff full or part time employees or contractors to counsel for wellness visits to attend to transitions with care and to develop care plans and implement them over time Wellness visits were established in 2011 and establish a Personalized Prevention Plan and Health Risk Assessment Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS

    Original URL path: http://medicaring.org/tag/excel/ (2016-04-30)
    Open archived version from archive

  • payment model – MediCaring.org
    Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS has acknowledged a need for refinements in these services to remedy the slow uptake in their use by providers In their July 15 2015 Proposed Rule https www federalregister gov articles 2015 07 15 2015 16875 medicare program revisions to payment policies under the physician fee schedule and other revisions they explicitly asked for comments from stakeholders and their response to these comments will be available in the MPFS Final Rule which will be available in November 2015 Please follow the MediCaring link to download the spreadsheet http medicaring org wp content uploads 2015 10 altarum cpt spreadsheet oct2015 xlsx Please do let us know how you found it useful and any improvements you would recommend Contact us at email protected Comments

    Original URL path: http://medicaring.org/tag/payment-model/ (2016-04-30)
    Open archived version from archive

  • transitional care management – MediCaring.org
    an example of the helpful tables that you ll find in this spreadsheet and a link to the spreadsheet http medicaring org wp content uploads 2015 10 altarum cpt spreadsheet oct2015 xlsx CMS decision to provide payment codes is a step in the right direction Although there have been some obstacles we hope that the final rule in November will provide more direction and clarity Providers and clinics should recognize the opportunity they have to hire appropriate staff full or part time employees or contractors to counsel for wellness visits to attend to transitions with care and to develop care plans and implement them over time Wellness visits were established in 2011 and establish a Personalized Prevention Plan and Health Risk Assessment Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS

    Original URL path: http://medicaring.org/tag/transitional-care-management/ (2016-04-30)
    Open archived version from archive

  • wellness visits – MediCaring.org
    an example of the helpful tables that you ll find in this spreadsheet and a link to the spreadsheet http medicaring org wp content uploads 2015 10 altarum cpt spreadsheet oct2015 xlsx CMS decision to provide payment codes is a step in the right direction Although there have been some obstacles we hope that the final rule in November will provide more direction and clarity Providers and clinics should recognize the opportunity they have to hire appropriate staff full or part time employees or contractors to counsel for wellness visits to attend to transitions with care and to develop care plans and implement them over time Wellness visits were established in 2011 and establish a Personalized Prevention Plan and Health Risk Assessment Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS

    Original URL path: http://medicaring.org/tag/wellness-visits/ (2016-04-30)
    Open archived version from archive

  • Estimating the Potential Revenue from the Newer Medicare Billing Codes – MediCaring.org
    in November will provide more direction and clarity Providers and clinics should recognize the opportunity they have to hire appropriate staff full or part time employees or contractors to counsel for wellness visits to attend to transitions with care and to develop care plans and implement them over time Wellness visits were established in 2011 and establish a Personalized Prevention Plan and Health Risk Assessment Transitional Care Management TCM recognizes that care gaps may occur when transitioning from one facility to home TCM provides assistance and follow up to improve outcomes and increase savings after a complex beneficiary has been discharged Chronic Care Management CCM codes cover services that use at least twenty minutes of the clinician s time to establish implement monitor or revise a patient s care plan The patient must have two or more chronic conditions that put the patient in a state of functional decline and the conditions are expected to last more than twelve months or until death By establishing chronic care management codes CMS is recognizing the value that prevention and comprehensive care management has in primary care and understands that it leads to better health for beneficiaries and lower costs The new codes indicate that CMS is beginning to appreciate the need for non face to face clinical services and CMS has allowed physicians to bill for these services now that there is a new awareness of the tasks of elderly persons living with disabilities and the conditions that come hand in hand with aging The codes begin to incentivize discussions with beneficiaries and families dealing with multiple chronic conditions and the codes recognize the need for awareness for the tasks of elderly persons living with disabilities and the conditions of aging The new codes cover at least some of the time that clinical staff needs to carry out the evaluations and discussions that are essential to better address the complex situations of the beneficiary population Incentivizing providers to coordinate care for beneficiaries living with chronic conditions is an important step for ensuring continuity and meeting personal goals of frail elders and their families We recognize that there can be many obstacles to practices for using these codes In the preliminary ruling CMS has acknowledged these obstacles and is soliciting comments about potential solutions Undoubtedly there will be ongoing improvements but first clinicians in various settings need this sort of help to take up the new codes and develop focus as to what else is needed We applaud the ongoing efforts by CMS to improve capture of the physician work and practice expense necessary to provide these important services Likewise it is also encouraging that CMS has acknowledged a need for refinements in these services to remedy the slow uptake in their use by providers In their July 15 2015 Proposed Rule https www federalregister gov articles 2015 07 15 2015 16875 medicare program revisions to payment policies under the physician fee schedule and other revisions they explicitly asked for comments from stakeholders

    Original URL path: http://medicaring.org/2015/10/26/potential-revenue-from-new-medicare-billing-codes/?pfstyle=wp (2016-04-30)
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  • Don’t Accept Medical Errors as the Standard of Care for Frail Elders – MediCaring.org
    for many elderly persons in need in most of the country the waiting lists are routinely more than 6 months long because we have not chosen to fund the Older Americans Act adequately What are we doing And how can we complain effectively Each family somehow believes that its situation is bad luck or how things are There is no benchmark by which to set expectations so the families accept the errors dysfunctions suffering and impoverishment that so often come with disabilities in old age Why are the errors of our system not being debated or even mentioned in political campaigns How can we change this We can start by changing our abysmal expectations of the services that we get Let s question why the care system is so deaf to the priorities of our loved ones everywhere we can in the newspapers in the candidate debates through social media Let s reengineer current services build highly reliable care systems in our communities and see what it really costs Projections for the costs of a community anchored care system that is person centered and flexible enough to bring most services into the home are not much different from current care arrangements Let s record stories good and bad Let s figure out how family caregivers can become politically powerful Why is it for example that Medicare has no standing advisory committee speaking for the interests of its millions of beneficiaries If we are lucky we will grow old So it s our future too not just our parents We ve started an initiative to get family caregiver issues on the party platforms in all states that generate party platforms You can join the Family Caregiver Platform Project initiative It takes very little time and gets leaders talking Go to http caregivercorps org to sign up now There are some bright spots on which we can build The Centers for Medicare Medicaid Services has introduced payment for advanced care planning discussions between Medicare beneficiaries and their physicians We agree that this is a good idea and strongly support it But care planning is not just an end of life matter it needs to be comprehensive and a standard practice All health care providers and social services agencies should pursue the goals that the elder and family actually most want We invite you to read our MediCaring blog for more of our comments on this proposal http medicaring org 2015 08 25 comments on payment for advance care planning What else can you think of We need other leverage points that would focus the pent up frustration of millions of family members who have already witnessed the misery of ordinary elder care What should have been available to Marcy as she helped her parents live their last years Hers is a story that we can all absorb and tell others then we can go out and insist that our care system change Eventually Marcy and her family found some exceptional paid caregivers

    Original URL path: http://medicaring.org/2015/09/28/dont-accept-medical-errors-as-the-standard-of-care/ (2016-04-30)
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