Extending Relationships with Chronically-Ill Patients

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…


Long-Term Relationships with Your Chronically-Ill Patients

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…


Falls and The Elderly

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…


February is Heart Month!

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?

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…


American Diabetes Association Alert Day

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…


Being Smart this Easter

According to an article written in the New York Post in June 2016, the number of hospital admissions for heart failure increases days after major holidays.

As a RN care manager my goal is to educate patients on what they should or should not do during the holidays to help manage their conditions, but still enjoy themselves. Continue reading…


‘Tis The Season for Family Gatherings!

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…