On Demand: Hiding in Plain Sight Part 1 : Clinic Workflows to Capture Care Management Revenue-Presentation Slides

Pdf Summary

The document discusses strategies for capturing care management revenue through clinic workflows, especially focusing on chronic conditions like heart failure and cardiovascular disease. It highlights the importance of proactive care, patient education, and ongoing care management to improve patient outcomes and reduce costs. By identifying patients with specific conditions, such as heart failure, professionals can implement transitional care management (TCM) and principal care management (PCM) services to enhance coordination, reduce hospitalizations, and improve patient engagement. The document outlines the requirements, reimbursement details, and documentation needed for TCM and PCM services, along with suggestions for successful implementation. It emphasizes the importance of staff training, workflow optimization, and collaboration across departments. Furthermore, the document provides resources for additional guidance from CMS on TCM and chronic care management. Overall, the focus is on formalizing services to achieve a return on investment and improve care outcomes for patients with chronic conditions.

Asset Caption

Please note update to slide 6 reference - data came from Definitive Healthcare

Keywords

care management revenue

clinic workflows

chronic conditions

heart failure

cardiovascular disease

proactive care

patient education

ongoing care management

transitional care management

principal care management