Smart Patient Engagement Solutions for Physical Therapists and Rehabilitation...
Summer Webinar Series CCM 062315
1. Summer Webinar Series
How to increase your Chronic Care
Management revenue significantly
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Featuring Matt Ethington
Founder & CEO of Discharge IQ
- Wednesday, June 24 2015 @12pm -
Call us for a demo at 844.269.4780 l info@practiceadmin.com l www.practiceadmin.com
This webinar is being recorded and
the PPT is available on request
marketing@practiceadmin.com
2. Speaker Bio & Agenda
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• What is CMS’ CCM incentive program?
• Why is the program important to you?
• How can you participate in the program?
• What is Discharge IQ?
• How do patients and doctors benefit from
using Discharge IQ?
Matt Ethington, CEO & founder of Discharge IQ, is a
successful entrepreneur and health IT leader with a
focus on technologies that reduce the high cost of
healthcare and help make patients happier and
healthier. He also founded and led the award-
winning simplifyMD.
3. What is CMS’ CCM incentive program?
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Under CMS’ Chronic Care Management program, effective Jan 1, 2015, physician practices can
charge $42 per month for 20 minutes of non face-to-face chronic care per patient.
Key Facts:
• There may be some patient responsibility.
• Medicare Advantage plans will have to cover CCM.
• Only physicians, advanced NPs, PAs, clinical nurse specialists,
and certified midwives can bill Medicare for CCM.
• Not covered: transitional care management, home healthcare
supervision, hospice care supervision, and certain end stage
renal disease services in the month billed.
• CCM is not recognized as an RHC (Rural Health Center) service.
• Providers can contract with a third party to provide non
face-to-face care management services.
Go to www.PracticeAdmin.com to download our white paper on CCM.
It includes a sample patient consent form.
4. Why is the CCM program important to you?
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The following CDC statistics emphasize the growing challenges of
managing chronic diseases such as cancer, diabetes, hypertension,
heart disease, and mental illness:
• 85% of healthcare funding goes to
treatment of chronic diseases.
• 133 million Americans experience at
least one chronic disease.
• 70% of all deaths result from
chronic diseases.
• More than two thirds of Medicare
spending goes to patients with five or
more chronic diseases.
5. How can you participate in the program?
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• Identify patients that qualify -- Medicare patients with multiple chronic conditions, significant
risk of death, or functional decline.
• Create a care plan and develop a Patient Consent Form. (Sample form in our CCM white paper.)
• Provide 20 minutes or more of non face-to-face chronic care per month per patient.
• Provide 24/7 access for patients with their healthcare providers for CCM services and to
coordinate care among providers.
• Apply appropriate CPT codes (CPT 99490, CPT 99487, CPT 99489).
• Use of EHR required.
• Consider an application such as Discharge IQ that helps
to manage the CCM program.
Go to www.PracticeAdmin.com to download our white paper on CCM.
It includes a sample patient consent form.
PracticeAdmin solutions integrate with leading EHR vendor
solutions and they can refer you to an EHR partner. You can
also ask your billing services provider for recommendations.
6. What is Discharge IQ?
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Discharge IQ is a new, simple healthcare technology
– an application built for a smartphone or tablet –
which is completely focused on managing patients
with complex chronic diseases.
How many of you know someone with a chronic
condition? A recent article in USA TODAY notes that
10,000 seniors cost Medicare $1 Billion.
According to the CDC 50% of American adults have a
chronic disease, and 85% of all healthcare spending is
on patients with one or more chronic diseases.
7. Why Discharge IQ?
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• Medicare will spend $17B on the program.
• There are other solutions that say they monitor chronic care,
but focus on monitoring fitness & wellness.
• DischargeIQ was developed based on clinical protocols.
• It was developed specifically to manage and monitor chronic
patients’ care and their data.
For a demo and more information call 470.210.5522 or visit www.dischargeIQ.com
8. How does the patient use it?
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Download an app. Answer a few simple questions each
day. These are standard, diagnostic questions developed
by physicians used to monitor chronic conditions.
Nothing to buy or install at home
No ‘blue tooth’ this or that – easy to use
Replay care instructions on demand
Goes where you go
“I answer a few questions on my
phone every day. I feel better
knowing there’s someone
monitoring my condition.”
9. How does the physician benefit?
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"This made so much sense and helped
to organize CCM that we decided to
enroll even our non-Medicare
patients so they too would clinically
benefit."
- Dr. Alan Einstein,
Alpharetta Internal Medicine
Discharge IQ enables doctors to max out the new CCM
program for significant additional revenue, but it also
significantly improves the delivery of care for chronic
care patients.
Manage patients with chronic disease better, and manage
more patients in less time.
Efficiently monitor all enrolled patients and quickly
identify patients needing care.
Improve efficiency and effectiveness of case managers
Helps to prevent readmission and associated penalties.
Earn net new revenue through Medicare’s CCM program
and get paid for work your practice is already doing.
10. Additional benefits to using Discharge IQ
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Physician-selected questions automatically appear on patient’s device.
Includes dashboard display of all monitored patients with easy view of top alert patients.
Reduces hospitalizations and re-admissions.
Enables simultaneous monitoring of many patients.
Answers are compiled, scored, and archived.
Ability to view individual patient data and generates detailed reports.
Physician (or clinical staff member), patient, and/or family members are
automatically notified when abnormal
responses or trends are detected.
For those without smart phones,
patients can enter data on their tablet,
home computer, or over the phone
with clinical staff entering responses.
11. - Questions? –
Thank you for attending the first of our Summer Webinar Series. This webinar was recorded and
will be available. The PPT presentation is available on demand at markting@practiceadmin.com
For more information on Discharge IQ call 470.210.5522 or visit www.dischargeIQ.com
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Register for upcoming webinars on www.practiceadmin.com:
July 22 Value of outsourcing pre-certs
August 26 PracticeAdmin Partners with Dell coding services – ICD-10
Sept 23 Improve how you manage your AR with Receivables Manager
Call us for a demo at 844.269.4780 l info@practiceadmin.com l www.practiceadmin.com