HealthArc's blog

HealthArc's Unified Care Management Platform offers a comprehensive suite of virtual programs including Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Chronic Care Management (CCM), Principal Care Management (PCM), Transitional Care Management (TCM), and Behavioral Health Integration (BHI). The HIPAA-compliant software ensures healthcare providers are adhering to the policies and organized for accurate billing. It replaces catch-all documents with editable care plan templates and has a system in place to ensure the success of a remote care program.

Chronic Care Management (CCM) refers to the long-term planning and delivery of healthcare services to people with chronic illnesses, like asthma, diabetes, heart ailments, hypertension, cancer, and others. Continuous care allows easy management of symptoms, prevents complications, and improves general health, thereby decreasing severe health risks.

Read more:
https://www.healtharc.io/blogs/ccm-rpm-reimbursement-changes/

HealthArc's Unified Care Management Platform offers a comprehensive suite of virtual programs including Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Chronic Care Management (CCM), Principal Care Management (PCM), Transitional Care Management (TCM), and Behavioral Health Integration (BHI). The HIPAA-compliant software ensures healthcare providers are adhering to the policies and organized for accurate billing. It replaces catch-all documents with editable care plan templates and has a system in place to ensure the success of a remote care program.

An important first step toward improving remote patient care is the CPT Code 99457 for Remote Patient Monitoring (RPM). In light of the changing healthcare landscape and the development of digital health platforms for RPM, this code provides a framework that enables medical practices to provide complete patient care and yet be eligible for Medicare reimbursement.

Read more:
https://medium.com/@healtharc/latest-cpt-code-99457-billing-coding-guidelines-3280a660b524

Behavioral Health Integration (BHI) is defined as patient-centered treatment delivered by a team of primary care and behavioral health professionals to address mental health and drug use problems, health habits, life stresses, and stress-related physical symptoms. Behavioral health integration (BHI) services cover the additional care management services that patients with mental, behavioral health, or psychiatric issues receive from their primary care team. The primary care team creates a care plan and organizes treatment throughout the healthcare system.

Behavioral Health Integration (BHI) is defined as patient-centered treatment delivered by a team of primary care and behavioral health professionals to address mental health and drug use problems, health habits, life stresses, and stress-related physical symptoms. Behavioral health integration (BHI) services cover the additional care management services that patients with mental, behavioral health, or psychiatric issues receive from their primary care team. The primary care team creates a care plan and organizes treatment throughout the healthcare system.

FQHCs are allowed to bill for certain remote monitoring services using G0511 from Jan 2024. These services include RPM (Remote Patient Monitoring), RTM (Remote Therapeutic Monitoring), CCM (Chronic Care Management), and Principal Care Management (PCM). CMS included G0511 for RPM in its 2024 Physician Fee Schedule (PFS).

Remote care services covered by G0511 can address various chronic diseases, such as:

Remote Patient Monitoring (RPM) for Alzheimer’s disease can aid in determining cognitive and functional impairment in Alzheimer’s and dementia patients. RPM provides a realistic view of patients in their own homes. Using modern technology, new and improved ways for accurately measuring functional decline in all phases of Alzheimer’s disease can be achieved through remote patient monitoring.

Read more:
https://www.healtharc.io/blogs/remote-patient-monitoring-for-alzheimers/

Transitional Care Management (TCM) services assist patients as they transition between different healthcare settings or stages of treatment, enabling smooth transitions, improving outcomes, and reducing potential consequences. HealthArc’s HIPAA-compliant cloud-based software and digital health platform is specifically developed to help patients navigate care transitions.

Principal Care Management (PCM) is all about reimbursing physicians for the additional work they do when caring for high risk complex chronically ill patients, including medication changes, creating a comprehensive care plan, patient follow-up and more. Utilize HealthArc’s digital monitoring platforms and cellular medical devices for efficient principal care management billing and care coordination.