MaHIMA Webinar – Medicare Reimbursement for Coordinating Care Across the Continuum: Keep Patients Healthy and Optimize Your Revenue Cycle
April 22 @ 12:00 pm - 1:00 pm$40.00
This one hour webinar on Medicare Reimbursement will cover:
This presentation will incorporate CV-19 into the topic. This will be timely as the as the remote patient monitoring and chronic condition monitoring that we need to do for at-risk patients during this pandemic could be reimbursed if we have the correct processes and systems set up. We’re finding that less than 20% of providers have these mechanisms in place.
Medicare’s outpatient reimbursement for care management services has an overarching goal to improve the health of Medicare patients with chronic medical conditions. Chronic health conditions come at a great expense to both patients and health care systems. According to Becker’s Hospital Review, these conditions account for 71% of health care costs. Reimbursement models driving value-based care have not shown to improve overall patient health; simply improvement in certain measured data. Close monitoring and continued follow-up with patients to improve their health understanding and compliance with care, however, is proven to improve the overall health of patients with chronic medical conditions. The longstanding model of fee-for-service physician reimbursement is moving toward value-based reimbursement and physician practices are failing to take advantage of reimbursement for care management services which are also shown to improve overall outcomes for patients with chronic medical conditions.
Presented by: Virginia Gleason, CPHRM, CCM, CDIP, Senior Manager, Advisory Services, Nthrive is a committed problem-solver who has a diverse background in acute care hospital operations and regulatory compliance with 25+ years of experience in academic, acute care, county, critical access and children’s hospital settings specializing in Case Management, Utilization Review