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Care Management Blog

Learning Center

Insights on care coordination and value-based care.

Daniel Godla

Founder and CEO of ThoroughCare

Chronic Care Management

By: Daniel Godla
July 16th, 2024

Approximately 93% of primary care physicians wish they had support to better engage patients with multiple chronic conditions, according to a Quest survey.

Chronic Care Management | RHCs / FQHCs

By: Daniel Godla
July 9th, 2024

An opinion piece in the American Academy of Family Physicians’ (AAFP) FPM journal identified care management as an “essential strategy” for success in primary care practices. Despite growing evidence demonstrating its potential to improve the health of the most at-risk patients, Chronic Care Management (CCM) adoption by rural providers has been slower than their urban counterparts.

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Data Integration & Interoperability | Care Management

By: Daniel Godla
July 9th, 2024

Data integration and interoperability enable greater capabilities to capture and share patient information, supporting new models like value-based care management.

Care Management

By: Daniel Godla
June 25th, 2024

Primary care is the foundation of US healthcare. It’s reported that primary care is the “only” area in which providing more services—such as childhood vaccines and regular blood pressure screenings—is linked to better population health and more equitable outcomes.

Care Management

By: Daniel Godla
May 21st, 2024

Physicians and other qualified providers working within nursing and assisted living facilities can deliver covered care management services, according to The Centers for Medicare & Medicaid Services (CMS). So long as they meet all billing requirements, and the claim is submitted using a specific NPI number. These services include:

Chronic Care Management | Remote Patient Monitoring (RPM)

By: Daniel Godla
April 16th, 2024

Combining Chronic Care Management with Remote Patient Monitoring can improve clinical outcomes, lower total cost of care, and enhance patient satisfaction.

Transitional Care Management | CPT codes

By: Daniel Godla
January 5th, 2024

Transitional Care Management (TCM) helps patients in the first 30 days following a hospital discharge. Covered by Medicare Part B, providers should learn what CPT billing codes are used for TCM in order to optimize care delivery and avoid denied claims.

Chronic Care Management | CPT codes

By: Daniel Godla
January 4th, 2024

Chronic Care Management (CCM) is a preventive program that helps patients mitigate their chronic conditions. As covered by Medicare Part B, providers should understand what CPT billing codes matter to the program and how they are used. This can help your organization avoid denied claims and enhance care.

Annual Wellness Visit | CPT codes

By: Daniel Godla
January 4th, 2024

A Medicare Annual Wellness Visit (AWV) is a preventive screening used to identify gaps in care.

Transitional Care Management | CPT codes

By: Daniel Godla
February 21st, 2023

Understanding the CPT billing codes for Transitional Care Management (TCM) will provide you with a better idea of what is expected, both by the patient and by Medicare.