Tag Archives: chronic patients

Provide uninterrupted care for your chronic patients during a pandemic outbreak

The COVID-19 outbreak has placed an unprecedented demand on health systems. Health systems and health workers on the front line are swamped by a plethora of activities related to the pandemic like identifying and isolating infected patients, providing care to them, ensuring it doesn’t spread to other patients, and themselves. Due to this, the delivery of essential health services which communities expect from providers is at high risk.

Focusing on a pandemic contingency plan and providing continued care for other essential health services are equally important. This will not only help gain people’s trust in the health systems but also reduce mortality from other health conditions.

Related Article: Learn how the COVID-19 pandemic is transforming healthcare with technology

Why shift to Preventive Care?

Preventable hospital readmissions are estimated to account for more than $17 billion in Medicare expenditures each year, and some of those Medicare costs are passed on to hospitals in the form of penalties. High medicare costs are a direct consequence of low patient engagement. During this time of the COVID-19 crisis, it is more important than ever to manage patients with chronic conditions to reduce costs.

One of the key strategies for providers to help their chronic patients is extending chronic care management to their homes. Providers should take a more proactive role in keeping their patients engaged in the process of care to manage their chronic conditions in a better way.

In a survey conducted by West, only 39% of respondents admitted they were only somewhat knowledgeable, at best, about how to effectively manage their condition. There is a serious gap among patients when it comes to managing their chronic conditions. Patients may not know how to check their vitals, how to follow a specific diet for their medical condition, health alert threshold, might not know their care plan, etc. Getting patients to understand certain metrics is important for reducing complications of their condition.

Chronic care management is necessary for patients because chronic patients contribute to 75% of hospital visits. In one of the articles, it is said that patients enrolled in Chronic Care Management Programs had significantly fewer hospital readmissions than routine care patients had.

How CCM benefit patients?

Patients involved in CCM services are healthier and happier. Patients get involved and engage in the management of the day-to-day activities in their care. Even during this time of crisis, they feel cared and see their care coordinators as a supporter, and they don’t feel alone.

How does CCM help your practice?

By offering CCM practices will not only see improved quality metrics but also high returns. It is great to get paid for something that is already being performed by clinical staff. Chronic Care Management helps increase your practice’s revenue as the CCM program directly translates into higher revenue. The more patients enroll the more the revenue.

Apart from increased revenue Chronic Care Management has several successful outcomes like

  • Better patient satisfaction and outcomes
  • Increased patients' compliance with medication therapy
  • Reduced hospitalizations and emergency department visits
  • Improved clinical quality and metrics
  • Reduced clinical staff time

Enrolling more patients in CCM programs is just perfect for providers to take care of their chronic patients during this time of crisis.

Are you looking for Chronic Care Management for your patients?

Partner with HealthViewX to provide Chronic Care management. HealthViewX CCM offers both the solution and end-to-end service.

HealthViewX Chronic Care Solution Alone

Automates and streamlines the entire process, and makes it easier for your staff to provide CCM services seamlessly.

HealthViewX Chronic Care Management Full Service

HealthViewX also provides end-to-end CCM services through our network of seasoned RNs and CMAs that enable you to increase your monthly reimbursements without incurring any additional cost of hiring additional staff or investing in technology solutions.

Interested in learning more? Schedule a demo and talk to our solution experts. Our experts will help you implement the solution or service, and get your practice started in a jiffy to provide uninterrupted care for your patients!

Related Article: Learn how the COVID-19 pandemic is transforming healthcare with technology

Earn from Medicare’s Chronic Care Management Program! CCM made simple!

Chronic Care Management Services are delivered to Medicare beneficiaries with two or more chronic conditions with a goal of improving health and quality of care for high-need patients. As population ages, FQHCs, RHCs, ACOs, Hospitals, individual practitioners, etc. face the daunting challenge of improving quality of care for chronically ill patients while containing costs.

The Centers for Medicare and Medicaid Services (CMS) says about 93% of total Medicare spending is on beneficiaries with multiple chronic conditions. Research has shown that highly fragmented care for Medicare beneficiaries with multiple chronic conditions are more likely to present in emergency rooms, and be admitted than others.

In spite of the need for proactive care for Chronic Care Management Patients, a lot of the providers are still underutilizing this benefit. There are several reasons why providers like FQHCs, RHCs, ACOs, Hospitals, individual practitioners, etc. have chosen to leave it on the table.

Complicated Process:

There are several rules physicians and practices have to follow in order to qualify for CCM reimbursement. CMS has set rules right from enrolling Medicare patients up to the necessary documents that have to be furnished for CCM reimbursement. Other mandatory requirements include providers offering CCM service, should have access to patient’s health records, provide 24/7 access to care, provide care plans, and patients be able to reach providers to meet urgent care needs.

Time Consuming and involves additional costs:

Many providers feel offering CCM service is a time-consuming effort, and requires additional staffing. They find it difficult to document each of these and also provide quality care for their patients. Providers feel there is an increased administrative burden to managing and tracking CCM services, and it also involves additional cost.

Patients Consent:

Providers must identify Medicare eligible patients, explain CCM services and get consent to enroll the patient and start the service. Providers must explain the required information in detail where the patient can either accept or decline the service. 

Wait and See Approach:

Providers  want to first see if the approach is effective before deciding to opt for it. Many providers and physicians wait to see if other providers who opted to provide the service have success with reimbursement before committing to participation in the program.

HealthViewX makes Chronic Care Management process easier with the below features and makes reimbursement simple:

Automated Documentation for CMS Auditing

HealthViewX automates and streamlines the end-to-end CCM process. Integrates with softphones to accurately record the time spent on each call. It easily helps generate reports as per CMS requirements. 

Comprehensive Care Plan

Structured care plans are essential to help organize coordination of actions for proper patient progression and self-management. The solution helps create condition-specific, personalized and comprehensive care plans for each patient including tasks and goals for both the patient and care coordinator track for better care coordination. Simplifies and streamlines workflow to guide tele-nurses in creating care plans. 

HIPAA Compliant

HealthViewX CCM follows HIPAA compliance requirements and guidelines. The solution lets you define the access, have user-specific access conditions, and provides secure access to patient records.

Analytics and Dashboard

Gives detailed actionable insights for better care coordination. Data can be visually represented and users can gather detailed information by clicking the desired data. The dashboard also displays the follow-up reminders that can be set-up by the user against each patient.

Take this simple step to improve health outcomes and reduce costs for patients with multiple chronic care conditions.

Schedule a demo and talk to HealthViewX Solution experts today to discuss the CCM solution. Or simply outsource your CCM services. HealthViewX also provides end-to-end CCM services through our network of seasoned RNs and CMAs that enable you to increase your monthly reimbursements without incurring any additional cost of hiring additional staff or investing in technology solutions.