Care Management and Billing Optimization – Module 1
September 18, 2021 @ 10:15 am - 12:00 pm MDT
Faith Jones, MSN, RN, NEA-BC, FANAI
Over the last several years, much emphasis has been placed on meeting the objectives of the Triple Aim: better health for the population, better care for individuals, and lower costs through improvements. As more and more demands are placed on primary care practices, the rise of provider burn out is more evident. This phenomenon has given rise to the quadruple aim. Research shows that ensuring healthy work environments lead to better patient outcomes. One intervention to improve work environments and prevent burn out in primary care is to fully implement a team-based approach to care.
In this session we will explore a business case for Care Coordination using a Team Based Approach to Care Model that highlights the various care coordination services lines such as Chronic Care Management (CCM), Transitional Care Management (TCM), Behavioral Health Integration (BHI), and Remote Physiological Monitoring (RPM) as well as the health promotion service lines such as Annual Wellness Visits (AWV) and Advance Care Planning (ACP). Implementing care coordination service lines in primary care practices is no longer optional – value-based care is the future, and the future is now. Focusing on team-based care with care coordination in your practice will bring benefits to your patients, to your practice revenue and most importantly to the workflows and job satisfaction of the entire healthcare team.
Understand the various care coordination modalities and how they relate to team based care
Identify the competencies needed for coordination of care and the value to the patient and provider
Explain the revenue impact on the practice related to fully utilizing the team based approach to coordination of care