Five “P’s” to Prove the Case for Home-Based Primary Care
April 11, 2022
Date: 04|11|2022 Author: Dr. Paul Chiang, Senior Medical and Practice Advisor, HCCI The heart of medicine is about service. For many of us who became
Date: 04|11|2022 Author: Dr. Paul Chiang, Senior Medical and Practice Advisor, HCCI The heart of medicine is about service. For many of us who became
03/22/2022: Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI The Centers for Medicare & Medicaid Services (CMS) recently announced its
01/14/22: Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI On January 13, 2022, the U.S Supreme Court released two per Curiam
Date: 01/06/2022 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI Here we are in the new
About the Article: Lynn Rapsilber, DNP, co-founded the National Nurse Practitioner Entrepreneur Network (NNPEN) in 2017 to help nurse practitioners (NPs) launch sustainable businesses. And,
Update 01/14/22: On January 13, 2022, the U.S Supreme Court released two per Curiam opinions regarding CMS and OSHA's vaccination and testing requirements. U.S Supreme
CY 2022 MPFS Final Rule Date: 11|04|2021 Approx. 5 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI It's November
Date: 10|21|2021 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI On October 15, 2021, Xavier Becerra, the
Date: 10|07|2021 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI One of the most common billing questions
Date: 09|15|2021 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI The Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) recently passed a significant policy that helps remove barriers for homebound patients to receive COVID-19 vaccines. Recognizing
Did you know Medicare reimburses for a comprehensive Cognitive Assessment and Care Plan visit for patients who would benefit? A recently published CMS webpage offers
In a recent Impact and Needs Assessment Survey, the Home Centered Care Institute (HCCI) asked past learners to share actions they have taken—and how those
In a home-based primary care practice (HBPC), many factors determine optimal productivity and panel size standards (i.e., the number of individual patients under the care
With many changes coming out recently from CMS, providers and practices can find it difficult to keep track. So, HCCI is providing the following clarifications
As the Public Health Emergency (PHE) continues, providers and practices are now challenged to receive, prepare, and administer vaccines to home-limited patients. Here is a
On December 1, The Centers for Medicare & Medicaid Services (CMS) released the long-awaited CY 2021 Medicare Physician Fee Schedule (MPFS) Final Rule. The MPFS
Coordinating acute or urgent visit requests in an HBPC practice is essential to helping medically complex patients avoid hospitalizations and unnecessary emergency department (ED) visits.
Flu season is always challenging and, with the current Public Health Emergency (PHE), advance planning will be even more important. Here are some tips to
Efficiency is key to the well-being of your HBPC practice. Here are some strategies for boosting efficiency: Understand and document current workflows and processes to avoid
About this Article: A growing evidence base shows that home-based primary care (HBPC) improves quality of care and promotes aging in place while reducing overall
On July 30th, 2020, the Centers for Medicare and Medicaid Services (CMS) announced that it will begin paying qualified healthcare professionals (i.e., MD, NP, PA,
On July 21, 2020, the Centers for Medicare and Medicaid Services (CMS) announced a new 10-week, virtual peer-to-peer learning community entitled, HHS Telemedicine Hack. The
The medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT (Current Procedural Terminology) code.
Telehealth is an important clinical delivery model, especially for home-based providers during the COVID-19 pandemic. Here are some practical implementation considerations: Practice Implementation Consider current
Interdisciplinary team (IDT) meetings improve staff communication, encourage teamwork, and promote optimal patient care and outcomes within house call programs. During the COVID-19 pandemic, IDT
On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released a second Interim Final Rule with new flexibilities and changes relevant to
As providers and practices continue to determine the best way to safely care for their patients while navigating the ever-changing regulatory requirements related to COVID-19,
As home-based primary care (HBPC) expands across the U.S., we’re reminded of how critical this model of care is, particularly during a Public Health Emergency
In addition to changes in the Centers for Medicare & Medicaid Services (CMS) Interim Final Rule discussed in our previous update, Providers and practices should
During HCCI's recent webinar, “The Impact of COVID-19 on Home-Based Providers, Practices, and Patients we encouraged practices to reach out to their local Medicare Administrator
In our recent article, Providing Telephonic and Virtual Care Requirements as part of COVID-19 Precautions, available on HCCI's COVID-19 Information Hub, we highlighted the requirements
The Home Centered Care Institute (HCCI) understands that many Home-Based Practices and Providers are increasing the use of virtual and telephonic care as an alternative
Revenue cycle management (RCM) encompasses all the administrative and clinical functions that contribute to the identification, capture and management of patient service revenue. A periodic
House Call programs can become more efficient, drive collaboration and enhance overall effectiveness by optimizing their daily operations. These operations can include managing phone calls,
About this Article: Regular chart audits can significantly help home-based primary care (HBPC) practices improve their coding accuracy and the quality of their documentation, while
Staffing costs are responsible for the largest share of a house call program’s expenses, so it is essential that staffing is appropriate to meet the
Since January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) has authorized payment for CPT codes 99358 – 99359 for prolonged services non-face-to-face
CMS Announces Request for Applications for Primary Care First Model Options (Highlights for Consideration included below) CMS released the Request for Applications (RFA) for the
Would you like to maximize your reimbursements by up to $42 dollars per patient per month for the care being provided? Chronic Care Management (CCM)
One of the unique challenges home-based primary care practices face is determining an effective geographic scheduling and route planning process. The ability to automate and/or
A hot topic in health care today is Hierarchical Condition Categories (HCCs), and there is no better time to consider the value of HCC coding
Apr 22, 2019 | cms.gov The CMS Primary Cares Initiative to Empower Patients and Providers to Drive Better Value and Results Today, U.S. Department of
Brent Feorene is a practice management expert and consultant in the field of home-based primary care medicine. Home-based primary care (HBPC) or "house calls" are