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Learning Center

Insights on care coordination and value-based care.

Daniel Godla

Founder and CEO of ThoroughCare

Chronic Care Management | CPT codes

By: Daniel Godla
January 20th, 2025

What is Chronic Care Management? Chronic Care Management (CCM) is a preventive health 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.

Remote Patient Monitoring (RPM) | CPT codes

By: Daniel Godla
January 20th, 2025

What is Remote Patient Monitoring? With Remote Patient Monitoring (RPM), providers can use physiological data to enhance chronic disease management. Covered by Medicare Part B, providers should learn what CPT billing codes are used for RPM in order to optimize care delivery and avoid denied claims.

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Care Management

By: Daniel Godla
January 14th, 2025

The Centers for Medicare and Medicaid Services (CMS) has introduced significant changes in the 2025 Physician Fee Schedule Final Rule, marking this as a crucial year for healthcare organizations. These changes are especially important for those already participating in Medicare care management programs or considering participating in them.

Medicare | RHCs / FQHCs

By: Daniel Godla
January 8th, 2025

The Centers for Medicare & Medicaid Services (CMS) released the Final Rule for its 2025 Medicare Physician Fee Schedule. It includes a significant change for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

Medicare | Remote Patient Monitoring (RPM)

By: Daniel Godla
January 6th, 2025

Many Medicare billing guides focus on reimbursement requirements but often lack clear steps on how to successfully and accurately bill Medicare for RPM services.

Medicare | Remote Patient Monitoring (RPM)

By: Daniel Godla
January 6th, 2025

In 2019, the Center for Medicare and Medicaid Services (CMS) launched its Remote Patient Monitoring (RPM) program, to reimburse providers for using digital technology to monitor patients between visits. The program covers collecting and transmitting patient clinical data. It also supports a clinician’s time to review the data and intervene if it indicates a harmful clinical change.

Medicare

By: Daniel Godla
November 26th, 2024

The Centers for Medicare & Medicaid Services (CMS) has released the Final Rule for its 2025 Medicare Physician Fee Schedule. According to a CMS fact sheet, this update continues efforts to strengthen primary care, support preventive care, and promote better access to behavioral health.

Chronic Care Management

By: Daniel Godla
November 25th, 2024

Chronic Care Management supports patients in managing their chronic conditions, preventing future illness, slowing disease progression, and avoiding exacerbation.

Chronic Care Management | Remote Patient Monitoring (RPM) | Behavioral Health Integration | Care Management

By: Daniel Godla
November 14th, 2024

In this video, we explore how targeted care management programs, including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI), can make a significant difference in supporting patients with hypertension. Discover how these programs empower care teams to deliver personalized, proactive care, helping patients maintain blood pressure control, improve medication adherence, and reduce their risk of complications.

Chronic Care Management

By: Daniel Godla
November 5th, 2024

An overarching shift has taken place over the past 100 years. It’s picked up speed in the last 20. Medicine has transitioned from a focus on infectious and non-communicable diseases to the prevalence of chronic illness.