The 4D Healthware platform was created to help keep track of patients with chronic conditions virtually, helping them adhere to care plans and make the best lifestyle decisions for their health.
Care Management Services for Health Centers:
Chronic Care Management and Behavioral Health Integration
Chronic Care Management (CCM) services have received little fanfare from health centers since the program’s 2015 implementation, due to low reimbursement rates and the burdensome paperwork and time tracking to justify the code requirements.
However, a little discussed item is that behavioral health conditions can be part of chronic care management services that entities offer. CMS continues the move toward integrated care emphasizing behavioral health components and, effective January 1, 2018, FQHCs can receive payment for Chronic Care Management (CCM) or general Behavioral Health Integration (BHI) services when 20 minutes or more of CCM or general BHI services are furnished under code G0511, General Care Management. G0511 will be an FQHC and RHC specific code and will replace CPT code 99490 starting January 1st, 2018.
The positive here is that the new code reimbursement is an average of previously used codes. If this rule was in place for 2017, the reimbursement for G0511 would be approximately $61.00 per beneficiary per month versus the present $42.00.
Here are some additional incentives for health centers to review their Care Management offerings:
- CMS has significantly eased enrollment and oversight requirements in 2017 and State Medicaid providers are recognizing these service codes.
- Some PCA’s and many EMR platforms are maintaining care management modules and assistance that make time tracking, documentation, and implementation an easier lift in 2018.
For more information, please read HERE.
4D Healthware offer solutions for the management of:
- Diabetes
- Hypertension
- Weight Management
- Cardiovascular
- Oncology
Interested in solution for a chronic ailment that is not listed above?
Fill out this form about the patient population that you would like to manage and we will create a customized solution for you!
4D Healthware’s comprehensive, HIPAA compliant solution is a value based care enabler with a patient centered interaction and care plan approach for patients with multiple chronic conditions. 4D Healthware’s Virtual CCM (Chronic Care Management) is the only solution needed for ACOs, large health systems, group practices, and solo practitioners. 4D’s Virtual CCM also fully supports non-physician (nurse practitioners, physician assistants, etc.) practices.
We capture the patient’s most relevant health history and upload real time data from activity trackers, wireless scales and wearable biometric sensors, 24 hours a day. The platform uses this data to deliver care plan recommendations for each patient, which you can modify accordingly through the physician dashboard. You have access to a record of adherence and progress as well as exception reports when a patient needs intervention.
Your patients will have comprehensive insight into their electronic care plans and monitor their progress through a patient dashboard, accessible from computers, tablets, IOS or Android devices. The platform pushes out messages to patients throughout each day, providing encouragement and emotional support, as well as medication reminders. Our easy-to-use patient module is built with simple, one-click buttons, highly readable fonts and graphics, and more patient-friendly functionality. This communication is delivered to them in language that is friendly and easy to understand, and respond to. The 4D platform is their friend, telling them just what they need to hear, just the way they need to hear it.
The electronic communication between our platform and the patient is documented and utilized to meet a number of value based reimbursement program requirements. At month’s end, practices can easily generate a list of all patients that participate in a value based reimbursement program, the care management services they received and a report card that shows improved outcomes from month to month.
