POPULARITY
7 episodes with Chronic care management
6 episodes with Chronic care management
3 episodes with Chronic care management
2 episodes with Chronic care management
2 episodes with Chronic care management
2 episodes with Chronic care management
2 episodes with Chronic care management
2 episodes with Chronic care management
2 episodes with Chronic care management
Key TakeawaysEveryone can be an investigator: Observing subtle changes in behavior, sleep, decision-making, or life management can reveal early signs of behavioral health needs.Integration matters: Combining behavioral and physical health care improves outcomes, prevents avoidable hospital visits, and reduces overall healthcare costs.Impact beyond the patient: Supporting behavioral health has ripple effects on families, caregivers, and communities, improving overall system well-being.Life transitions are critical points: Changes in living situations, cognitive decline, or significant life events are opportunities for early intervention.Collaboration is key: Cognitive behavioral specialists, nurses, primary care providers, and facility staff must work together to ensure timely and effective care.Innovation brings hope: Emerging research, new care models, and broader conversations about mental health as part of overall wellness are reshaping healthcare for the better. www.YourHealth.Org
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 16th Season starts up and Episode 15 features a Newsworthy update on the OIG Work Plan for November 2025.Sonal's Trusty Tip and compliance recommendations focus on chronic care management documentation.Spark inspires us all to reflect on resilience based on the inspirational words of Edmund Hillary.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
KEY TAKEAWAYSThe new ACO model increases funding for high-risk Medicare patients but requires disciplined execution.Visits — frequent, short, meaningful ones — are the #1 driver of reduced hospitalizations and better outcomes.The target is four visits per patient per month for those with a 2.4–2.8 risk score.Current numbers show only 2.5 visits per patient per month — leaving savings and outcomes on the table.Facilitators are essential: their job is to start conversations, gather information, and initiate telehealth visits.Notes, Mobius recordings, and consistent communication make providers more effective over time.Small, weekly touchpoints outperform long, infrequent visits in both outcomes and cost savings.Every team member plays a role in preventing hospitalizations and improving patient stability. www.YourHealth.Org
Pharmacists spend hours counseling patients on medications and chronic conditions without earning a dime for this clinical work. Remote Patient Monitoring and Chronic Care Management partnerships with physicians transform these unpaid daily activities into steady monthly revenue streams.Learn more: https://ccmrpmhelp.com/contact CCM RPM Help City: Herriman Address: 12953 Penywain Lane Website: https://ccmrpmhelp.com/ Phone: +1 866 574 7075 Email: brad@ccmrpmhelp.com
Key Takeaways (for on-air recap & social)Presence prevents: Being in the building daily beats any remote administrative stack.Rituals > heroics: Small, repeatable actions (exercise + vitals + lunch checks) compound.Caregivers stabilize: A modest weekly schedule creates 40 hours of reliable on-site support.Therapy cadence matters: Spread the care; keep people moving longer to reduce falls.Document to decide: Specific behavioral notes → faster NP decisions → fewer crises.Mission creates growth: Aligning to “no hospitalizations” reduces noise and increases referrals. www.YourHealth.Org
Key Topics:How sudden insurance and policy changes disrupt patients and providersThe importance of prevention and primary care in lowering long-term costsWhat fully staffed care teams look like and why they matterBalancing productivity and patient-centered careWhy disruption is necessary for a healthier futureTakeaway: Healthcare continues to be shaped more by profit and red tape than by prevention and patient outcomes. But with innovative care models and a relentless focus on what patients truly need, leaders can shift the system toward better health and lower costs. www.YourHealth.Org
Episode NotesWhat Health Connectors are and why they matter.The danger of a provider-centered workflow—and how to avoid it.Real examples of how proactive home visits catch problems early.Why vital signs can be the key to preventing 50% of heart attacks.The culture shift needed: salaried roles with responsibility, not clock-in/clock-out mindsets.Scott's challenge to all healthcare workers: “Go see your damn patients.” www.YourHealth.Org
Welcome back to Ditch the Lab Coat! In this episode, host Dr. Mark Bonta sits down with Dr. William Cherniak, an emergency physician, global health leader, and CEO of Rocket Doctor—a Canadian tech company on a mission to shake up how we access healthcare. As the world continues to grapple with the lessons learned from COVID-19, Dr. Cherniak and Dr. Bonta dive deep into the evolution of virtual care and its role in both episodic and chronic healthcare.Together, they challenge the misconceptions around virtual medicine, exploring how digital innovation is not just a convenient alternative but often a superior solution for patients who need fast, efficient, and ongoing medical attention. From navigating Canada's complex healthcare policies to leveraging AI and Bluetooth-enabled devices, Dr. Cherniak shares his journey as a physician-entrepreneur working to make healthcare more accessible—whether you're managing blood pressure from your living room or urgently treating poison ivy without a trip across town.Tune in as we unravel the myths of hands-on-only healthcare, the future possibilities of remote diagnostics and procedures, and what it will take for medicine to truly enter the 21st century. If you're curious about how virtual care is changing the patient-doctor relationship, cutting through red tape, and building a compassionate, tech-savvy future, this is an episode you can't miss.(https://www.linkedin.com)(http://rocketdoctor.io/)Episode Lessons 1 – Virtual Care Is Effective – Virtual healthcare can match or even surpass in-person care for many conditions, especially when accessibility is an issue.2 – Breaking Down Healthcare Barriers – Virtual care improves access for patients struggling with long waits or limited transportation to clinics.3 – Episodic vs. Chronic Care Needs – Healthcare isn't just for chronic patients; episodic care can be efficiently managed through modern virtual models.4 – Innovation Born From Necessity – Rocket Doctor's creation was driven by gaps in primary care, especially for those without family doctors.5 – Team-Based Medical Support – Virtual platforms enable teams of physicians to support each other, ensuring continuity even when one doctor is away.6 – Navigating Bureaucracy and Policy – Different provinces and health systems determine how virtual care can be provided and reimbursed, affecting implementation.7 – Seeing Beyond Clinic Walls – Virtual visits provide unique insights into patients' home and social environments, revealing valuable context for care.8 – Tech Empowers Doctors and Patients – Electronic records, AI tools, and Bluetooth devices streamline tasks, allowing more focus on patient care and faster follow-up.9 – Busting Medical Tradition Myths – Not every visit needs physical examination; much required care can be accurately delivered without in-person touch.10 – Envisioning Healthcare's Future – Real integration of AI, seamless records sharing, and patient-driven portals will further revolutionize how care is delivered virtually.Want me to bold all the lesson titles for consistency, or keep only the last one bold as the highlight?Episode Timestamps00:00 – Medical Podcast Disclaimer 05:28 – Reimagining Virtual Care in Canada 08:04 – Canadian Tech-Driven Medical Practice 11:54 – Bureaucratic Challenges in Healthcare 13:39 – Embracing Virtual Healthcare 19:53 – Virtual Care: Beneficial vs. In-Person 20:54 – Canada's Acute vs. Preventative Care 26:14 – Virtual Care Evolution 2019 30:08 – Healthcare Innovation and Streamlining 32:59 – Home Ultrasound Study for Pneumonia 35:40 – Virtual Care: Medicine's Evolution 37:42 – Science Skepticism Podcast Promo DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Episode NotesScott shares a story about meeting a compliance pharmacist who unexpectedly became the solution to a major organizational challenge.The importance of pharmacy compliance and direct-to-manufacturer drug purchasing.Why God's timing plays a role in healthcare growth and leadership decisions.The danger of miscommunication across facilities and how to “season” a team for long-term effectiveness.How leaders can emerge from any position — from providers to CNAs to medical assistants.Why job descriptions must be clear, but leadership requires flexibility. www.YourHealth.Org
Sometimes, patients need help with the simpler things, like scheduling appointments with their medical professionals. Other times, they may need assistance with something that is more involved - like accessing home health or medical equipment.In this episode of Oaklawn Health Matters, Oaklawn Medical Group Executive Director Zach Chapman discusses how the CareHarmony partnership helps Oaklawn chronic care patients proactively tend to their health care needs.Episode ResourcesOaklawn Care ManagementAbout OaklawnOaklawn was founded in 1925 as a 12-bed hospital in a residential home, funded by a group of visionary philanthropists. Now, almost ten decades later, we've evolved into a highly regarded regional health care organization, licensed for 77 acute care beds and a 17-bed inpatient psychiatric unit. We've continued to be an independently owned not-for-profit hospital, with our main campus residing on the same site as the original hospital, providing facilities, equipment and technology that are usually only found at larger health systems. We enjoy a reputation for advancing medicine and providing compassionate, personal care. Our service area includes Calhoun County and parts of Branch and Eaton counties with a medical staff of more than 300 providers representing over 55 specialties. For information, visit www.oaklawnhospital.org.Oaklawn Health Matters is produced by Livemic Communications.
Episode NotesBehind-the-scenes look at Your Health's move to a High-Needs Accountable Care Organization (ACO)How Medicare calculates risk scores and allocates funding for high-risk patientsWhy Your Health is delivering a 32% savings over Medicare's projected spend — at scaleThe flaw in most investment-backed healthcare models (and why they're losing millions)The urgency of same-day or next-day post-hospital visits to prevent readmissionsBlending leadership across divisions to improve care coordinationWhy Scott believes corporate thinking — not just individual effort — changes outcomesThe real role of community health workers and how to measure their impactHow South Carolina's primary care spend has shifted because of Your Health's approachA direct challenge to healthcare leaders: own the gaps and fix them together www.YourHealth.Org
On this episode Justin invites Matt Ethington, CEO of ChronicCareIQ, a company that provides a care management platform designed to improve patient outcomes, optimize reimbursement, and strengthen patient-physician relationships. Justin and Matt discussed the evolution and opportunities in chronic care management, highlighting its growing adoption, financial potential, and role in transitioning to value-based care. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
In this episode:Scott's thoughts from a recent trip to Key West and GeorgiaThe shocking gaps in primary care coverage in assisted living facilitiesReal examples of care breakdowns that led to avoidable hospitalizations—and even deathThe power of the Your Health model: 3 visits per week in facilities, 5 visits post-dischargeHow early, coordinated care reduces ER visits and saves millionsWhy United Healthcare is making a $122 million mistake—and how it could be avoidedThe role of respiratory therapy, PT/OT, and sleep studies in aging careWhy primary care should be the centerpiece of healthcare fundingKey takeaway:If it was your mom or dad, would once-a-month visits be enough? www.YourHealth.Org
Chronic care management and remote patient monitoring are essential tools for addressing physician shortages, improving patient access, and enabling value-based care. In this episode, Mark Whittington, Managing Director at HealthXL, discusses how his organization is driving change in healthcare by focusing on chronic care management and remote patient monitoring (RPM). He emphasizes that these programs can help patients stay healthy longer, improve their quality of life, and reduce the burden on primary care physicians. Mark also highlights the importance of patient engagement, accountability, and a collaborative partnership between practices and their chronic care management/RPM provider for successful implementation. Finally, he touches on the emerging role of AI in gleaning insights from patient data to predict and prevent health issues. Tune in and learn how HealthXL is leveraging chronic care management and RPM to revolutionize healthcare! Resources: Connect with and follow Mark Whittington on LinkedIn. Learn more about HealthXL on their LinkedIn and website. Email Mark directly here.
In this episode of AFSPA Talks, we continue our conversation from Annual Meeting about weight loss, cardiovascular health, and diabetes management. Today's focus is on Chronic Care Management Programs. To tell us more about those programs, we have Grace Silverio from Teladoc Health. For more information about the Chronic Care Management Programs available to Foreign Service Benefit Plan members at NO COST, click here.If you have questions about these programs, join AFSPA Live, our live Q&A session, on Thursday, April 24, 2025, at 11 AM ET. If you would like to submit a question in advance, fill out this form.
This week their guests are Mike Hoxter, Chief Technology Officer, and Briana Rodriguez, RN, BSN, the Director of Clinical Programs at Lightbeam Health Solutions, specializing in Chronic Care Management, Transitional Care Management, Remote Patient Monitoring and Annual Wellness Visits. The company builds customized operational solutions to align ancillary care teams as seamless members of their partners' value-based care goals. They discuss: empowering ACOs, predictive analytics in population health, closing care gaps, reducing healthcare costs, and the future of value-based care. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
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About Mark Whittington:Mark Whittington is the Managing Director at HealthXL, a company focused on improving healthcare outcomes for patients with chronic conditions through chronic care management and remote patient monitoring. Mark is passionate about helping people stay healthy longer and improving their quality of life, especially those in vulnerable stages of their health journey.Things You'll Learn:Chronic care management and RPM can alleviate the burden on primary care physicians, allowing them to focus on patients who need face-to-face care while managing routine cases remotely.Devices used for remote patient monitoring (blood pressure cuffs, pulse oximeters, etc.) should be simple and familiar. Accountability and consistent use are the most critical factors for success.Transparency and communication with patients through various channels (devices, texting, apps) will improve patient engagement and access to care.AI has the potential to glean insights from patient data, predict health issues, and enable earlier interventions, ultimately improving patient outcomes.Chronic care management and RPM are key components of value-based care. They enable providers to proactively manage patient health and prevent costly complications.Resources:Connect with and follow Mark Whittington on LinkedIn.Learn more about HealthXL on their LinkedIn and website.Email Mark directly here.
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
In this episode, BerryDunn experts Robyn Hoffmann, Natalie Laaman, and Olga Gross-Balzano discuss Chronic Care Management (CCM) services in Medicare and what your organization needs to be audit-ready. You'll hear a quick overview of Medicare practice requirements with detail on who can provide Chronic Care Management, how to oversee contractor's deliverables, whether CCMs can be provided by a contractor who is outside of the United States, how to handle new patients (or those not seen in a year or more,) and how to prepare and respond to a post-payment audit.
In this exciting kickoff to 2025, Jamie sits down with Your Health CEO Matt Staub to discuss the organization's latest groundbreaking initiatives. From the expansion of the Community Health Integration (CHI) program to the launch of a new Durable Medical Equipment (DME) division and a return to hospice care, Your Health is reshaping the way healthcare is delivered. They also dive into the organization's expansion into Florida, how healthcare is moving beyond the four walls of a hospital, and why integrated care teams are the future. Tune in for an insightful conversation about the future of patient-centered care and how Your Health is leading the charge!
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www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com www.YourHealth.Org
So as you are well aware, at CHESS we often refer to the seven pillars of value-based care. What are these pillars and how does each impact fee-for-value? So, we've tended to use these pillars, if you will, to think about the process. Really, it follows our implementation process in many ways. So, I would start with practice transformation. So, that involves ensuring that physicians, advanced practice providers, office staff from CMA to nurses to even front desk staff, has some awareness of value-based care, understand why it is important, and then are engaged in the process of transforming that practice to a infrastructure that supports the delivery of the value-based care models and success in those models, both clinically, which is ultimately what this is really all about, and financially.From there, you can begin to layer on other services or pillars if you will. These don't necessarily have to happen in this order, but we often start with thinking about quality. Most organizations today have some quality efforts already in place just due to primarily to the fact that CMS and other payors are pushing those. And most people have at least some pay-for-performance type of arrangements, where they're paid for closing quality care gaps. But quality goes beyond just thinking about closing quality care gaps. For our quality team, we're thinking about optimizing the annual wellness visit so that the template within the EMR is just capturing data points and discrete fields. That makes reporting easier back to CMS as well as to the private insurance companies, Medicare Advantage, as well as commercial.We think about Care Coordination and as we define care coordination, that includes, for our teams, nurses and CMAs. They work together to assist also in quality. So, the CMAs help close quality care gaps throughout the year. They schedule annual wellness visits, that's a big emphasis in the first half of the year. If you can already tell, that annual wellness visit is a key component of value-based care because it touches on so many different elements of value. The other role for Care Coordination would be moving with that patient, tracking that patient, outreaching the patient between transitions of care. So, patient is admitted to the hospital, discharged to the skilled nursing facility, then discharged home. Our Care Coordination teams are monitoring that patient as they transition through those different sites of service and ensuring that each transition is as safe as possible. We all know that medication errors, in particular, are a massive problem through transitions of care. So, ensuring that patients know what medications they're taking, or supposed to be taking, and that they can afford those medications. If they can't, then connecting them with the resources to be able to provide those medicines for them.They also perform Chronic Care Management. So, that's identifying. So, we can go back to population health, identifying a group of patients who are either at high risk or rising risk of a complication or with a certain disease state. Identifying those patients, and then on a regular basis, setting up telephonic or even telehealth outreach to those patients, so that between those four office visits a year, that a chronic patient might have with a provider in the office, someone is touching base with them throughout the year. As a clinician, I always think that way. That for an average chronic care patient, I might have an hour or two hours a year of face time with a chronic care patient. Whether that's diabetes, hypertension, the combination of the two. That's really not very much time over the course of the year. And so, when you think about the Care Coordination team being able to touch those patients in between those visits, you really are improving the patient's experience of care. You're extending the provider's reach and ability to impact the patient in between those...
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In this episode of Finding Certainty, Finding Certainty host, Patrick Laing, sits down with Jim Bland, Founder and CEO of Seniors Home Services, to explore how his innovative remote senior care and management solutions are transforming healthcare for seniors and providers alike. Discover how SHS offers a seamless, turn-key approach to Remote Patient Monitoring, Chronic Care Management, and Remote Therapeutic Management, enabling practices to improve patient outcomes and experience, reduce staff workload, and generate substantial new revenue—all with zero out of pocket expense to them. Jim shares his vision for a future where healthcare is more efficient, affordable, accessible, and patient-centered, and explains how SHS is helping practices nationwide embrace this change. For more information on Finding Certainty, Certainty Management, or Certainty Global LLC, visit certaintyteam.com or call (888) 684-3122. To learn more about Seniors Home Services' free health and wellness coaching, go to https://www.remotecaretoday.com/introduction/1292. To learn about the revolutionary brain health program they offer, CereSkills (an app that can help improve memory, balance, and cognition in seniors and is paid for by Medicare), go to https://www.remotecaretoday.com/brainhealth/1292. Thank you for tuning in, and we look forward to sharing this important conversation with you today.
Host Justin Barnes records live at GAHIMSS in Atlanta. Stay tuned for the next few weeks to hear all his guests. This week Justin talks to Greg Fulton, Chronic Care Management & Value-based Care Lead at GLF Strategies, and Mike Mosquito, Comms Chair, GAHIMSS Board & lead Emerging Technology and Innovation at NE GA Health System. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
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Our expert guest on this episode is Brian Esterly, who was appointed CEO of TimeDoc Health in August 2023. Brian brings more than 25 years of healthcare leadership experience to ...
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In this inspiring episode of Leaders in Medical Billing, Chanie Gluck sits down with Josh Fertel, owner of J3RCM, to discuss his remarkable journey into the medical billing industry. Pivoting from 30-years in the car business to founding his own medical billing company at the age of 57, Josh shares how personal challenges and a passion for learning led him to his career change. This episode explores the importance of networking, the role of communication in business success, and the entrepreneurial mindset that drives Josh's success. Tune in to hear his story and gain valuable insights for your business! Timestamps 00:00:00 - Introduction and Host's Background 00:00:32 - Guest Introduction: Josh Fertel 00:00:47 - Josh's Career Transition to Medical Billing 00:01:42 - Overcoming Health Challenges 00:02:23 - Learning Medical Billing During Recovery 00:03:02 - Starting J3RCM and Early Success 00:03:32 - Challenges and Unique Perspective in Medical Billing 00:04:20 - Networking and Client Acquisition 00:05:16 - Building a Knowledgeable Team 00:05:49 - First Major Project: Chronic Care Management 00:06:46 - Launching the Angry Biller Podcast 00:07:01 - Frustrations with Physicians' Business Knowledge 00:08:48 - Enjoyment and Purpose of Podcasting 00:09:47 - Communication as a Key Business Focus 00:11:09 - Managing a Remote Team 00:12:45 - Networking and Learning from Industry Leaders 00:13:05 - Host's Business Journey and Offshoring 00:16:01 - Growth and Networking Strategies 00:17:05 - Client Referrals and Specialties 00:18:22 - Software Preferences and Challenges 00:19:13 - Future Goals and Success Metrics 00:20:04 - Planning for the Future 00:20:20 - Contact Information and Closing Remarks
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICDCM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ Sonal's 12th Season starts up and Episode 18 features her Newsworthy updates on the month's fraud, waste, and abuse cases. Trusty Tip features Sonal's compliance recommendations on new HCPCS G-codes for chronic care management. Spark inspires us all to reflect on collaboration based on the inspirational words of Margaret Mead. Thanks to Advanced Coding Services: Website: https://advancedcodingservices.com/ Paint The Medical Picture Podcast now on: Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast Find Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A Find Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/ And checkout the website: https://paintthemedicalpicturepodcast.com/ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com --- Support this podcast: https://podcasters.spotify.com/pod/show/sonal-patel5/support
In this episode, Dr. Shannon Fox Levine shares her unique path to becoming a pediatrician, starting from a criminology major to her final realization during her third-year clinical rotation. She discusses her practice in Palm Beach, which has a strong focus on mental health and chronic care management. Dr. Levine highlights the collaborative efforts with a local nonprofit for mental health care and the challenges faced, especially regarding payment structures and care coordination codes like G2211. The conversation covers the need for fair payment, advocacy for primary care, and the evolving landscape of pediatric care with an emphasis on chronic disease management.00:00 Introduction and Guest Welcome01:13 Dr. Foxx's Journey to Pediatrics04:24 Residency and Early Career05:34 Building a Comprehensive Pediatric Practice07:29 Mental Health Integration in Pediatrics11:33 Challenges and Innovations in Pediatric Care19:19 Patient Experience and Practice Management28:26 The Future of Pediatrics36:28 The Demands of Pediatric Practice36:45 Challenges in Pediatric Infectious Disease37:25 Shift to Chronic Disease Management39:01 Mental Health Crisis in Pediatrics39:25 Insurance and Access to Care Issues40:55 Obesity and Metabolic Syndrome43:22 Vaccination and Disease Prevention44:44 Advocacy for Fair Payment49:18 National Pediatric Advocacy Efforts52:10 Value-Based Care and Chronic Disease01:07:34 Future of Pediatric CareSupport the Show.
Remembering that healthcare is a privilege and approaching it with a heart makes our community healthier. In this episode, Dr. Arti Masturzo, the Chief Medical Officer at CCS, shares insights into her journey in healthcare, the innovative work being done at CCS, and the impact of value-based care transformation. She discusses the unique services offered by CCS, emphasizing the company's approach to healthcare provider support, personalized patient education, and addressing social determinants of health. Arti also delves into the company's evolution and the importance of continuously adding value to the healthcare ecosystem. Moreover, she reflects on the impact of AI and the privilege of contributing to better healthcare outcomes. Tune in to gain insightful perspectives on healthcare innovation from Dr. Arti's wealth of experience in the industry. Resources: Watch the entire interview here. Connect with and follow Arti on LinkedIn. Follow CCS on LinkedIn and visit their website.
Get ready for an episode that promises to reshape the way you perceive healthcare! In Episode 15 of the Bedrock Way podcast, our host, Dr. Andre Gomez, President and Chief Operating Officer of Bedrock Healthcare At Home, is taking the stage to unveil the NEW MEDICAL SPECIALTY that is set to revolutionize the healthcare landscape.Join us as Dr. Gomez dives deep into the transformation that Bedrock Healthcare At Home is bringing to the forefront. Drawing on his extensive experience as a clinician, Dr. Gomez will shed light on the stark disparities he observed between the collaborative inpatient setting and the fragmented world of outpatient care. This episode is not just an announcement; it's a journey into the heart of healthcare transformation.But that's not all! Dr. Gomez will outline the Top 5 Reasons why this change is not just necessary but imperative for the well-being of patients: Changing Healthcare Landscape: Explore how the traditional healthcare system falls short in addressing the evolving needs of our population and why a shift towards continuous care is crucial. Technological Advancements: Discover how Bedrock Healthcare At Home leverages cutting-edge technology to provide proactive, innovative, and patient-centric care, revolutionizing the way healthcare is delivered. Shifting from Reactive to Proactive Care: Uncover the limitations of reactive healthcare and the profound impact of embracing proactive medical wellness on patient outcomes and overall healthcare efficiency. Value-Based Healthcare: Delve into the flaws of the fee-for-service model and learn how Bedrock Healthcare At Home is prioritizing the quality of care and patient outcomes through a value-based approach. Rebranding Primary Care: Understand the necessity of redefining primary care as CHRONIC CARE MANAGEMENT specialists to meet the ever-evolving needs of patients with chronic conditions.Prepare to be inspired as Dr. Gomez champions the patient journey and announces Bedrock Healthcare At Home's national expansion, bringing their revolutionary medical culture to every corner of the country. This isn't just a podcast episode; it's a declaration of a new era in healthcare.Tune in to Episode 15 of the Bedrock Way podcast and be part of the movement that is reshaping the future of medicine. The time for change is now, and Dr. Gomez is leading the way! Don't miss out on this extraordinary episode – the unveiling of the NEW MEDICAL SPECIALTY awaits you.
On this episode, we had an opportunity to have a conversation with Dr. Kellee Mitchell Farris. Take a listen as she shares her journey of coming back home to serve and the pure love and care that she has for her community. Dr. Kellee Mitchell Farris has been on the staff at Lee County Cooperative Clinic since 2010. However, her time at LCCC dates back to her childhood. Her father, Dr. L.C. Mitchell, moved his family to Marianna in 1976 to be the Dentist at the Clinic. So, Dr. Farris has strong ties not only to the community, but to the Clinic. She has over 25 years of experience in health care and holds a Ph.D. in Public Health. She also has Master Certificates from Johns Hopkins University in Healthcare Data Analytics and in Population Health. Dr. Farris began her career at LCCC as the Depression Care Manager and later became the Quality Improvement Coordinator helping LCCC reach Level 3 PCMH Recognition in 2017. While working in the QI Coordinator role, LCCC was able to be awarded several grants and awards for achievement. Since becoming CEO in 2018, Dr. Farris has led the LCCC in receiving the 2019 Governor's Quality Award and celebrating 50 years of service while having one of the most profitable years to that date. Most notably, Dr. Farris has helped lead the way in the Clinic's recent groundbreaking of a new 20,000 square foot facility. This facility is more than double the size of the current facility and will be the focal point for what Dr. Farris calls the “Lee County Cooperative Clinic Campus”. Dr. Farris has developed a plan for the 16-acre campus to include a women's health clinic, pediatric clinic, a program offering clinical rotations for medical students, and housing a wellness/fitness center. Dr. Farris wants to ensure that the community has direct access to quality primary and specialty care without having to travel outside of Eastern Arkansas. Dr. Farris was named the 2019 Community Leader of the Year by the School of Religious Studies, the 2020 Jack Geiger Vision Award recipient by the Community Health Centers of Arkansas, and in 2022 was named one of 5 finalists for the Best CEO by the Arkansas Times. In 2020, Dr. Farris was appointed to the NACHC Quality Improvement Advisory Board. Being a native of Marianna aids in Dr. Farris being able to work with the culturally diverse population. She is very active in the community. She recently ran for elected office in her district, with plans to run again and continue to advocate for hercommunity. She is a volunteer for the Arkansas Single Parent Scholarship Fund, Rotary, Arkansas Colorectal Cancer Consortium, a member of Delta Sigma Theta Sorority, Inc., is a youth mentor, and volunteers for countless other community projects. Dr. Farris has twochildren, Lawton (12) and Klein (28). Lee County Cooperative Clinic (LCCC) was established by a group of community leaders in 1969 in response to the desperate need for basic health care services for a community struggling with poverty, malnutrition, and insurmountable health care barriers. As the first Federally Qualified Health Center in Arkansas and one of the first in the United Stated, LCCC has provided comprehensive primary and preventative medical and dental care services to the most vulnerable populations. LCCC has grown from one small clinic to a comprehensive primary care delivery system comprised of four clinic sites and a mobile unit that provide medical, dental, and pharmacy services in a three-county area in eastern Arkansas - Lee, Phillips, and St. Francis Counties. LCCC prides itself in offering complementary services (case management, remote patient monitoring, health education, transportation, and Chronic Care Management) to its patients to ensure the “whole” patient is treated. LCCC is continuously looking for programs and strategic partnerships that will help achieve this vision.
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In this episode, we hear from Susa Monacelli, General Manager at Propeller Health. In their own words Propeller Health is a precision digital health company on a mission to uplift every person living with chronic disease so they can take control of their health and live a better life. Topics include: The background to Propeller Health and the ResMed umbrella The original business hypothesis of ResMed and how this has evolved Patient experience using Propeller Health Differentiating propositions to health system, pharma and payers DTx vs. Disease Management 2.0 The future of prescription digital therapeutics Partnerships with health systems vs other routes to patient access Challenges holding the digital health industry back Guest Links and Resources: Connect with Susa Monacelli on LinkedIn Visit Propeller Health Episode PDF Host Links: Connect with Eugene Borukhovich: Twitter | LinkedIn Connect with Chandana Fitzgerald, MD: Twitter | LinkedIn Connect with YourCoach.health: Website | Twitter Check out Shot of Digital Health with Eugene and Jim Joyce: Website | Podcast App HealthXL: Website | Twitter | Join an Event Digital Therapeutics Podcast would not be possible without the support of leading DTx organizations. Thank you to: > Presenting Partner: Amalgam Rx > Contributing Partners and Sponsors: LSI | Bayer G4A | Lindus Health Follow Digital Health Today: Browse Episodes | Twitter | LinkedIn | Facebook | Instagram Follow Health Podcast Network: Browse Shows | LinkedIn | Twitter | Facebook | Instagram
August 11, 2023 Ray, Mark, and Scott discuss 2 questions that came into the Urology Coding and Reimbursement Group (see below for a link to sign up free):Good Evening Our office is looking into Chronic Care Management. We know that CCM requires the patient to have 2 chronic conditions. Most of these patients have prostate cancer and diabetes, and or hypertension. Which brings me to my question our providers will be treating and managing the cancer but as for as the diabetes goes they are not treating this or managing it in any way. Would we still be able to use this in out CCM billing?Hi, What CPT code set would you bill for Excision Scrotal Lesion(s)? (Path Report: Benign). Would you code with 11420-11426 or 11106-11107 or 54060 or something else? NOTE DETAILS: FINDING(s): Numerous scattered superficial skin lesions, In total 20cm skin removed. "We began by marking out the areas of concern with elliptical incisions. There were numerous lesions but they were spread out enough that we decided to do multiple separate incisions. After the lesions were marked the skin was anesthetized with 0.5% Macaine. Incisions were made sharply along the previous marked ellipse. The skin was then carefully dissected sharply from of the underlying dartos tissue. Hemostasis was achieved with bipolar cautery. This was repeated for all lesions."Urology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Specialist Certification (DCB-SC)Documentation, Coding, and Billing Master Certification (DCB-MC)Urology Advanced Coding and Reimbursement SeminarClick Here to Register Now Las Vegas, December 1 & 2, 20238 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayNew Orleans, January 26 & 27, 20248 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayReserve your spot and save!As a Urology Coding and Reimbursement Podcast listener, you get access to a discount (limited-time offer).Use code: 24UACRS733Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com
Chronic diseases are the result of a combination of genetic, physiological, environmental and behavioral factors. They require long-term management and often behavioral changes. Achieving long-lasting effects can be extremely difficult, and digital health solutions have since the beginning been seen as an important factor in assuring success, by providing patients with continuous monitoring and feedback. Omada Health is a US digital behavioral medicine company that uses digital tools and personalized support to help individuals living with prediabetes, diabetes, hypertension, and musculoskeletal issues. It's been present on the market for over a decade, so in this discussion, you will hear the CEO Sean Duffy talk about what exactly does Omada do differently compared to traditional chronic care management providers, we discussed approaches to providing sustainable long-term chronic care management, and touched the topic of the sharp rise in popularity of GLP-1 inhibitors, we've seen in the last year. GLP-1 inhibitors are drugs that are used for treating diabetes but have become a popular weight loss tool for many people. SPONSOR https://magicmind.com/digitalhealth For discount, use the code: digitalhealth20
Current capabilities of remote monitoring, using wearable technology for chronic disease management and future opportunities for practices with Richard Milani, MD, chief clinical transformation officer at Ochsner Health. American Medical Association CXO Todd Unger hosts.
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On today's episode, we spoke with Jon-Michial Carter, CEO and founder of ChartSpan about their proactive, full-service Chronic Care Management (CCM) program. They handle patient enrollment, education, care plans, and prescription refills, allowing healthcare staff to focus more on in-person care. We also discussed how ChartSpan supports community health centers' unique needs, especially for social determinants of health screenings and care gap assists.
The second half of our conversation with Yates Lennon, MD, President of CHESS Health Solutions who discusses the seven pillars of value-based care and the benefit of moving from fee for service to fee for value.At CHESS we often refer to the seven pillars of value-based care. What are these pillars and how does each impact fee-for-value? So, we've tended to use these pillars, if you will, to think about the process. Really, it follows our implementation process in many ways. So, I would start with practice transformation. So, that involves ensuring that physicians, advanced practice providers, office staff from CMA to nurses to even front desk staff, has some awareness of value-based care, understand why it is important, and then are engaged in the process of transforming that practice to a infrastructure that supports the delivery of the value-based care models and success in those models, both clinically, which is ultimately what this is really all about, and financially.From there, you can begin to layer on other services or pillars if you will. These don't necessarily have to happen in this order, but we often start with thinking about quality. Most organizations today have some quality efforts already in place just due to primarily to the fact that CMS and other payors are pushing those. And most people have at least some pay-for-performance type of arrangements, where they're paid for closing quality care gaps. But quality goes beyond just thinking about closing quality care gaps. For our quality team, we're thinking about optimizing the annual wellness visit so that the template within the EMR is just capturing data points and discrete fields. That makes reporting easier back to CMS as well as to the private insurance companies, Medicare Advantage, as well as commercial.We think about Care Coordination and as we define care coordination, that includes, for our teams, nurses and CMAs. They work together to assist also in quality. So, the CMAs help close quality care gaps throughout the year. They schedule annual wellness visits, that's a big emphasis in the first half of the year. If you can already tell, that annual wellness visit is a key component of value-based care because it touches on so many different elements of value. The other role for Care Coordination would be moving with that patient, tracking that patient, outreaching the patient between transitions of care. So, patient is admitted to the hospital, discharged to the skilled nursing facility, then discharged home. Our Care Coordination teams are monitoring that patient as they transition through those different sites of service and ensuring that each transition is as safe as possible. We all know that medication errors, in particular, are a massive problem through transitions of care. So, ensuring that patients know what medications they're taking, or supposed to be taking, and that they can afford those medications. If they can't, then connecting them with the resources to be able to provide those medicines for them.They also perform Chronic Care Management. So, that's identifying. So, we can go back to population health, identifying a group of patients who are either at high risk or rising risk of a complication or with a certain disease state. Identifying those patients, and then on a regular basis, setting up telephonic or even telehealth outreach to those patients, so that between those four office visits a year, that a chronic patient might have with a provider in the office, someone is touching base with them throughout the year. As a clinician, I always think that way. That for an average chronic care patient, I might have an hour or two hours a year of face time with a chronic care patient. Whether that's diabetes, hypertension, the combination of the two. That's really not very much time over the course of the...
Alex Bahram is the co-founder and CEO of JupiterDX, a health data analytics and engagement platform that helps patients suffering from chronic illnesses manage their care and find effective treatments. Using wearables like apple watch and Fitbit to monitor vital signs and activity levels, JupiterDX's app assists patients with energy and symptom management. JupiterDX is currently focused on helping patients with Long COVID.Prior to co-founding JupiterDX, Alex was the sixth employee at SummerBio, a high throughput COVID testing startup. While there, he helped manage their hardware supply chain and helped the company grow to over 100 employees and the largest COVID tester in California.He is currently on hiatus from his studies at Northwestern University to focus on growing JupiterDX. Learn More at JupiterDX
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In this episode Terry joins Sean to discuss Transitional Care Management and Chronic Care Management and all of the auditing, billing, coding, and compliance information you need to get it right! These are not profit centers, at least how they are structured so be careful and avoid the pitfalls associated with these services! Thank you for making us a Top 25 Podcast: https://blog.feedspot.com/regulatory_compliance_podcasts/ The Compliance Guy has been Nominated in 2 categories (Andy Curry Award and The Business Category) for a People's Choice Award. The voting has now opened and if you would, please vote for The Compliance Guy Podcast in the 2 Categories mentioned above! Simply go to this link: https://lnkd.in/grYHk-8P and register then it will take you to the nominations page for you to vote... Once you click on the "Andy Curry" and "Business" categories and you will find "The Compliance Guy" half way down... Click on it, then submit and you are done!
Dr. Sandra Awaida is a clinical pharmacist that has been practicing in the US since 1999. She worked as an attending pharmacist at the Massachusetts General hospital which is a Harvard Medical School teaching hospital in the intensive care unit and internal medicine department where she also served on the pharmacy residency advisory committee, the MGH pharmacy research committee and a writer to the MGH pharmacy newsletter. She joined Novartis Canada working on new product launches, developing medical content and speaking on national meetings. Her passion for clinical pharmacy led her on to teach at several universities in the US and abroad until she found her calling when she founded a private cardiology practice where she incorporated Chronic Care Management, Remote Patient Monitoring or RPM and PGx. She is the founder of PreciGenX, LLC. Since 2008, she has worked to advance the non traditional role of pharmacists in medical practices and is a is a huge advocate of a preventative approach to patient care. She is constantly looking to create value by marrying cutting-edge innovative services with the highest evidence-based medicine to achieve the best outcome for her patients and increase ROI or Return of Investment for physicians. And of course she has been mentoring and coaching others to be able to do the same. Learn more about your ad choices. Visit megaphone.fm/adchoices
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