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Insights on care coordination and value-based care.

Value-Based Care | Behavioral Health Integration

By: Daniel Godla
February 5th, 2025

The Centers for Medicare and Medicaid Services (CMS) has updated the Final Rule for Behavioral Health Integration (BHI) for 2025. While there were no major changes to the BHI program rules and regulations in this Final Rule, it is significant that, for the first time, Rural Health Clinics and Federally Qualified Health Centers are now permitted to bill for the BHI CPT codes, just like other fee-for-service practices. Additionally, there are updated reimbursement rates for these CPT codes.

Value-Based Care | Behavioral Health Integration

By: Kathryn Anderton, BSN, RN, BC-RN, CCM
January 29th, 2025

Clinicians and healthcare policymakers are accepting that physical and mental health are closely interconnected. This view is now influencing the aims and focus of value-based care through Chronic Care Management, care coordination, and Integrated Behavioral Health.

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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.

Value-Based Care | Care Management

By: Daniel Godla
September 17th, 2024

The Centers for Medicare & Medicaid Services (CMS) launched Z codes in 2015. They are a set of ICD-10-CM codes that identify non-medical factors that may affect a patient's health status or ability to fully benefit from treatment. They were released for billing and research purposes, yet no reimbursement is associated with their use.

Remote Patient Monitoring (RPM) | Value-Based Care | Telehealth | Care Management

By: ThoroughCare
August 28th, 2024

In this video, we break down everything you need to know to successfully start a Remote Patient Monitoring (RPM) program.

Chronic Care Management | Care Coordination | Remote Patient Monitoring (RPM) | Value-Based Care

By: ThoroughCare
July 24th, 2024

In this video, we dive into the transformative impact of Remote Patient Monitoring (RPM) on Chronic Care Management (CCM). Chronic conditions require consistent monitoring and management, and RPM offers a revolutionary solution by enabling healthcare providers to remotely track patients' health data in real-time.

Value-Based Care | Care Management

By: ThoroughCare
April 30th, 2024

Software should make meeting compliance and value-based care contracting requirements seamless. ThoroughCare was built to not only meet CMS’s care management program requirements, but our existing tools and capabilities were designed to support value-based care coordination and contracting no matter the payor.

Behavioral Health | Value-Based Care | Behavioral Health Integration

By: ThoroughCare
March 25th, 2024

Due to the pandemic, the demand for expanded Behavioral Health services in primary care settings has increased significantly. It is reported that one in five adults have a diagnosable mental health disorder, whereas two out of five individuals experience symptoms of anxiety and depression.