Patient Care with Extended Support for Chronic Illness
Care Coordination and Chronic Care Management
Effectively managing chronic conditions or serious injuries requires collaboration between the patient and the provider. Vee Healthtek’s care coordination experts assist healthcare providers in identifying opportunities to improve the navigation of the healthcare system.
Our Care Coordination Experts:
- Evaluate care transition protocols
- Aggregate data to ensure treatment plan adherence
- Identify and address service gaps
- Review medication management procedures
- Assess referral patterns, payment trends, and quality metrics
Chronic Care Management
Chronic care management begins with a discussion between the primary care provider (PCP) and the patient. The 2015 CMS decision to reimburse chronic care management services supports the ongoing shift towards value-based care, focusing on the comprehensive management of a patient's health.
Chronic care management is defined as “care coordination services provided outside of regular office visits for patients with multiple (two or more) chronic conditions expected to persist for at least 12 months…”
Vee Healthtek’s chronic care management solutions prioritize the patient’s overall well-being while helping providers maintain profitability throughout the care process.
Building Sustainable and Scalable Chronic Care Management Processes Begins With:
- Educating and enrolling: Providers initiate chronic care management by discussing the process with the patient. Once both parties agree, the enrollment and EMR workflow can begin.
- Integrated patient outreach: Chronic care management involves continuous patient engagement beyond office visits. Collaborating with a Vee Healthtek CCM expert helps address operational gaps and enhance your processes.
- Claims management: Reviewing submission, reimbursement, and denial management processes for chronic care management claims is crucial.
- Program evaluation and adaptability: Successful CCM programs perform regular evaluations of their participants and continuously assess the financial impact of the program.
- Payer evaluation: Leverage analytics and technology to assess payer adjudication behaviors related to CCM claims.