With each new value-based program, your medical practice must meet new metrics or watch your bottom line shrink. You need better ways to preserve your revenue streams while improving care for patients. Leveraging CMS’ Chronic Care Management codes (CCM) can help you achieve both goals, but managing care and billing is complex.
The Wright Center (TWC), a safety-net primary care provider in northeastern Pennsylvania that follows the Patient-Centered Medical Home (PCMH) model, solved this problem by contracting with Signallamp Health.
Signallamp Health, Inc., a pioneer in providing dedicated nurse care managers to chronically ill patients, announces an expansion of its nurse care team to assist patients and their providers adversely affected by the abrupt closing of CareSync.
Signallamp’s full-service chronic care management solution is the “anti-call center” for patient engagement. Signallamp’s model allows for the same nurse to work with the same care team every day and same panel of patients each month. This has proven to deliver unrivaled patient satisfaction and retention, and guaranteed monthly NET revenue for the practice without upfront investment.
The most under-utilized asset in healthcare is the physician-patient relationship. Signallamp’s embedded care managers effectively supplement this relationship by expanding the provider’s capacity to work with patients between office visits while remaining in the provider’s day-to-day workflow. On the other hand, call centers create an entirely separate workflow, and not surprisingly, patients balk at the impersonal nature of the interaction.
Signallamp has partnered with providers since the CMS launch of the Chronic Care Management program and has become a national thought leader in the space. “Those struggling with a Chronic Care Management program often prioritize technology, but you need a program that works at a human level first. Once we got that right, we built technology to maximize efficiency and extend the program to thousands of patients,” said Drew Kearney, Co-Founder and Chief Executive Officer.
About Signallamp, Inc.
Signallamp Health is a technology-enabled care management provider that works as an extension of the physician practice and dedicates nurse resources to chronically ill patients. For patients, Signallamp Health builds on their trusted physician relationship to enhance patient care, engage the patient in their own good health, and deliver better health outcomes. For physicians, Signallamp is targeting untapped sources of revenue, driving ancillary services, and helping practices prepare for MIPS and value-based reimbursement. Learn more at: www.signallamphealth.com
Under MACRA/MIPS and the physician Fee Schedule, Medicare is demanding and paying clinicians for providing care outside of regular office visits. 3 out of the 4 MIPS performance categories and an additional 7 CPT codes in 2017 relate to providing care management.
Signallamp Health dedicates RNs to collaborate with physicians to monitor and help manage their most challenging and time-consuming patients.
In this series, Signallamp Health highlights the positive impact of its RN-driven, hands-on approach on patient care. Continue reading…
The 2017 Physician Fee Schedule is here and clearly states that CMS wants to increase reimbursements for managing chronically-ill patients. A new avenue for reimbursement is non-face-to-face care, first introduced in 2015 with CPT 99490 and expanding in 2017 to include higher payments for medically complex patients and behavioral health.
Signallamp Health dedicates RNs to collaborate with the patient’s own PCP to provide care management services in between office visits. Such patient engagement is an important step in preparing practices for the added requirements of MACRA.
In this series, Signallamp Health highlights the positive impact of its hands-on approach. Continue reading…
According to the CDC, millions of people 65 and older fall yearly at an estimated cost of $31 billion in medical expenses alone per year. As an RN Care Manager, two key goals are to keep the patient at home and to prevent hospitalization.
Overview of patient
72 yo male with dx of Diabetes, Arthritis, Hypertension, Chronic Kidney Disease, Depression and Vitamin D deficiency. Continue reading…
According to the CDC, over 600,000 people die of heart disease in the United States every year. The most common type of heart disease is coronary artery disease, which kills over 350,000 people a year. As an RN Care Manager, two key goals are to keep the patient at home and to prevent hospitalization. Continue reading…
What is Transition of Care, how does it help my patient, and what are the challenges for providers?
Transition of Care (TOC) is a CMS reimbursement intended to help patients as they move from an acute setting back to the community. The smooth transition back home is essential if we are to help patients maintain their health long term, keep more patients in their home, and reduce unnecessary readmissions.
At discharge, the first step in that transition, patients and their caregivers are eager to get home, and the wealth of information offered is often forgotten, misunderstood, or lost in the rush. To address this quick disconnect from the healthcare system, clinical staff contact the patient by phone within 2 days (a requirement of the reimbursement). The call is an opportunity for the patient to ask questions now that they are comfortably at home and have had time to consider next steps. Caregivers too can learn more about their role in the ongoing care of their loved one. Continue reading…
According to the American Diabetes Association (ADA) the total costs of diagnosed diabetes have risen to $245 billion and is increasing daily. The largest component of medical expenditures according to the ADA is inpatient hospital care which is 43% total medical cost, followed by prescription medications to treat diabetes at 18% total cost, anti-diabetic supplies at 12%, physician office visits at 9 % and the lowest percentage at 8% is nursing/residential facility stays.
The ADA has created “American Diabetes Association Alert Day” to get the American adults to “wake-up” and learn about the importance of diabetes. This day was created in 1986 and since then has been a part of the diabetes education and prevention efforts in the United States. On this day, the ADA would like the American public to take a diabetes risk test and learn more about their risk of diabetes and what they can do to prevent themselves of being at risk. Continue reading…
Tis the season for family gatherings, delicious food, sweet treats, joyful friends, and increase A1Cs. Per the American Diabetes Association, in 2015 30.3 million Americans had diabetes and 1.5 million Americans are diagnosed with diabetes every year. According to NCBI there are over 7.7 million hospital stays for diabetic patients and 22-46% of them are due to hyperglycemia. Continue reading…