Avicenna Medical Blog

TCD Medical Offers a Bridge in Behavioral Care; Linking Patients With Addiction or Mental Health Issues to Specialists

Posted by DeAnn Dennis on Thu, Aug 02, 2018 @ 11:50 AM

TCD Medical and Behavioral Health Integration:

An estimated one third of patients being treated by a primary care doctor are also suffering from a mental health condition or substance abuse disorder. Primary care doctors may feel overwhelmed, or that their practice is not equipped to handle such specialized care. However, due to limited access issues, it may take three to sixth months to make an appointment with a behavioral health specialist. A partner of Avicenna, the Amherst-based TCD...

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2018 Updates to Medicare's Behavioral Health Integration Program

Posted by DeAnn Dennis on Tue, Jul 03, 2018 @ 11:00 AM

Behavioral Health Integration Program:

Behavioral health integration (BHI) was added to Medicare’s care management programs in January 2017, reimbursing physicians and non-physicians for BHI services provided to patients with mental, behavioral, or psychiatric conditions. Since the introduction of BHI, Medicare has continued to update the billing codes and expand the reimbursement opportunities for providers aiding the millions of Americans living with a mental health disorder.


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2018 Updates to the Medicare Diabetes Prevention Program

Posted by DeAnn Dennis on Thu, May 24, 2018 @ 02:43 PM

Updates for Medicare Diabetes Prevention Program Expanded Model:

With the intent of lowering the rate of progression to Type II diabetes and improving overall health, the CMS has finalized the Medicare Diabetes Prevention Program (MDPP) expanded model, which will allow qualified providers to begin furnishing MDPP services this year.

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2018 Updates to Medicare Care Management Programs

Posted by DeAnn Dennis on Thu, Apr 19, 2018 @ 04:14 PM

Care Management Programs Overview:

Beginning in 2013, the Centers for Medicare and Medicaid Services introduced transition of care management (TCM), reimbursing providers for helping their patients with the transition from hospital to home.  Following the introduction of TCM; in 2015 CMS introduced the original chronic care management code, CPT code 99490, to pay providers for delivering non-face-to-face care to Medicare patients with two or more chronic conditions.

In 2017 CMS enhanced the...

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2018 Care Management Code Updates for Federally Qualified Health Centers and Rural Health Centers

Posted by DeAnn Dennis on Wed, Jan 03, 2018 @ 07:57 AM

Overview - Care Management Updates:

On November 15, the final rule of the Medicare 2018 Physician Fee Schedule was published.  The updates include new billing codes and increased reimbursement for Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) when certain care management services are furnished. Beginning on January 1, 2018, two new billing codes present RHCs and FQHCs with the opportunity to receive higher reimbursement for providing Chronic Care Management...

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Three ways the Trump election may affect Transitional Care Management (TCM) and Chronic Care Management (CCM) Programs

Posted by DeAnn Dennis on Thu, Dec 08, 2016 @ 11:49 AM

The impact of Donald Trump’s election on the healthcare landscape is beginning to take shape.  Along with his election, the Republican Party has retained control of both houses of Congress and a large majority of state legislatures and governorships. 

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