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Insights on care coordination and value-based care.

Care Coordination | Value-Based Care

By: Daniel Godla
January 22nd, 2025

Care coordination includes organizing patient activities and services across multiple providers. The approach prioritizes communicating all relevant information to the participants involved in the person’s care. Its overall objective is to fulfill an individual’s care needs and preferences through high-quality, personalized engagement.

Care Coordination | Patient Engagement | Care Management

By: Kathryn Anderton, BSN, RN, BC-RN, CCM
January 22nd, 2025

Many physicians and clinicians pride themselves on the relationships they develop with their patients. By creating a patient-centered care plan, providers can enhance engagement, deliver timely interventions, align on outcome goals, and improve care team coordination.

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Chronic Care Management | Remote Patient Monitoring (RPM)

By: Daniel Godla
January 22nd, 2025

One of the powerful aspects of Medicare care management programs is that some are designed to work together. A primary example is offering Chronic Care Management (CCM) alongside Remote Patient Monitoring (RPM).

Transitional Care Management | CPT codes

By: Daniel Godla
January 22nd, 2025

What is Transitional Care Management? 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

By: Daniel Godla
January 22nd, 2025

The Centers for Medicare and Medicaid Services (CMS) has updated the 2025 Final Rule for Chronic Care Management (CCM). For 2025, there were no major changes to the CCM program rules and regulations in CMS’s Final Rule, but for the first time, Rural Health Clinics and Federally Qualified Health Centers can now bill the CCM CPT codes just like other fee-for-service practices. There are also updated reimbursement rates for the CPT codes.

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.

Care Management

By: Kathryn Anderton, BSN, RN, BC-RN, CCM
January 14th, 2025

This year brings significant opportunities and changes to care management that invite providers, health plans, and care management service organizations to transform. Central to these changes is the launch of the Advanced Primary Care Management program.

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.

Press Release

By: ThoroughCare
January 14th, 2025

PITTSBURGH – ThoroughCare has announced that the company is entering a strategic partnership with CareCo, an innovative provider of generative AI-powered tools. This collaboration aims to assist care managers in streamlining patient, task, and call management, enabling them to dedicate more time to patient interactions and less to administrative work. CareCo’s advanced technology is designed to seamlessly integrate with ThoroughCare’s existing platform, facilitating a more efficient, AI-assisted workflow that minimizes manual entry, speeds up documentation processes, and reduces errors.