Avicenna Medical Blog

Medicare Care Management Updates - 2020

Posted by DeAnn Dennis on Tue, Nov 19, 2019 @ 11:11 AM

Care Management in 2020:

Each year, CMS makes updates to the Medicare care management programs to create more financial reimbursement opportunities for providers and improve the health outcomes of their patients. This year's final rule for the Physician Fee Schedule contains modifications to payment rates, payment policies, and quality provisions. These updates will be officially implemented on January 1, 2020.

TCM Program Updates:

Transitional Care Management focuses on reducing unnecessary...

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Medicare Care Management Programs - 2019

Posted by DeAnn Dennis on Thu, Oct 10, 2019 @ 12:13 PM

CMS Care Management Programs - History and Overview:

In 2013, CMS introduced Transition of Care Management (TCM), reimbursing providers for furnishing care to patients transitioning from the hospital to their home. Two years later, the Chronic Care Management (CCM) program was launched to promote better outcomes and reduce the cost of care for patients living with two or more chronic conditions. To expand on the established Annual Wellness Visit (AWV) benefit, CMS introduced Advanced Care...

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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.

Medicare's...

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