Care Management Blog

In this video, we discuss how Annual Wellness Visits — or AWVs — can be a powerful gateway to enrolling patients in care management programs like Chronic Care Management (CCM) and Remote Patient Monitoring (RPM). We’ll show you why AWVs are more than just a Medicare requirement — they’re a key touchpoint for identifying patient needs, improving outcomes, and boosting reimbursement for your practice. If you're looking to deliver more holistic care and grow your value-based care efforts, you're in the right place.

Artificial Intelligence has profoundly impacted healthcare. Innovations in medical imaging and diagnostics, drug discovery and development, personalized medicine, surgery, virtual health, and predictive analytics lead the way.

Rural healthcare providers face unique challenges in providing care to the one in five Americans (67 million) who reside in rural, Tribal, or remote communities. The number of rural Accountable Care Organizations (ACOs) is growing to counteract hospital closures and buoy physicians experiencing lower reimbursement and greater responsibility.

The Centers for Medicare & Medicaid Services (CMS) created the Shared Savings Program (SSP) to encourage physician groups, hospitals, and other healthcare providers to support more coordinated, high-quality, and cost-effective care.

Accountable Care Organizations (ACOs) consist of groups of doctors, hospitals, and other healthcare providers who collaborate and coordinate care for groups of patients. Through performance-based payment models, ACOs share in the savings they attain with the primary goal of improving healthcare quality while reducing costs.

Launching or expanding a care management program comes with certain challenges.

The Centers for Medicare & Medicaid Services (CMS) allows billing practitioners to collaborate with third-party care management service companies. This arrangement can provide external clinical staff and non-clinical staff to perform certain care tasks.

Care management service providers—the companies to which physicians and their practices outsource their programs—are becoming increasingly popular.

In 2020, the Centers for Medicare & Medicaid Services (CMS) finalized that auxiliary personnel, including contracted vendors or service companies, may perform Remote Patient Monitoring (RPM). This includes services described by CPT codes 99453, 99454, and 99457.