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Tag: Practice Operations & Leadership

Chronic Care Management (CCM) Provider Checklist - 2024

CCM Providers Checklist

This resource is intended to assist home based medical care providers with effectively managing Chronic Care Management (CCM) services, inclusive of guidance on how to identify eligible patients with multiple chronic conditions, initiate appropriate visits for assessment and consent, document patient consent, record and update patient information in certified Electronic Health Record (EHR) systems, develop

Home-Based Medical Care: Telehealth Guidelines & Coding Requirements - 2024

Telehealth for Home Health

A comprehensive resource designed to provide guidance to home-based medical care programs in the use of telehealth services to care for their patients with the expansion of reimbursement opportunities post-pandemic. All content reflects 2024 updates and was gathered utilizing Centers for Medicare & Medicaid Services (CMS) guidelines.

Key Metrics for Demonstrating the Value of HBPC Programs - 2024

Key Metrics

This resource is intended to help clinicians and practices determine metrics for evaluating operational efficiencies, productivity, and patient outcomes. While not an exhaustive list, HCCI recommends selecting a core set of measures from the following key data areas to demonstrate the value of your HBPC program. The staffing and operational metrics will help you evaluate

Provider Orders and Instructions Form - 2024

Provider Orders and Instructions Form

The Provider Orders/Instructions Form is a comprehensive document designed to convey clear and precise healthcare directives from a physician to the patient and other healthcare professionals involved in the patient's care. This form serves as a written record of the physician's recommendations, treatment plans, and specific instructions to ensure accurate and consistent implementation across the

Recruiting Patients for your HBPC Program - 2024

Recruiting Patients for Your HBPC Program

This resource is intended for home-based primary care (HBPC) providers and practice staff to assist practices that are starting, growing or adding a home-based primary care (HBPC) program to their services with recruiting and talking to potential new patients. These tips guide practices on appropriately and effectively relaying their program’s vision and mission and the

Securing Referrals for Your HBPC Program - 2024

Securing Referrals for your HBPC Program

This resource is intended for home-based primary care (HBPC) providers and practice staff to provide suggested talking points and topics of discussion for practices that recently started or are trying to grow their home-based primary care (HBPC) program. These are intended to be used in conversations with providers who are known to the practice and

Chronic Care Management (CCM) Care Plan Requirements - 2024

Chronic Care Management CCM Care Plan Requirements

This resource is intended for home-based primary care (HBPC) providers and practice staff and provides an overview of the 2024 required elements for the Chronic Care Management (CCM) Care Plan. This resource may be utilized as a guide to create a standard CCM Care Plan but is not all-inclusive. Refer to CMS guidelines for full

Home-Based Medical Care: Superbill Worksheet - 2024

Superbill Worksheet

A comprehensive list of the primary services that a home-based medical care practice would bill and submit for reimbursement. Includes CPT® codes, location of service (if applicable), service descriptor, 2024 wRVU, 2024 Medicare National Fee Schedule Payment, and precalculated 85% of Medicare allowable payment (NP/PA). This information allows programs to estimate revenue, create an internal

Home Based Medical Care Advanced Coding Opportunities - 2024

Advanced Coding Opportunities

A comprehensive resource to assist home-based medical care providers and practice staff with understanding the advanced coding opportunities beyond Evaluation and Management (E/M) Current Procedural Terminology (CPT®) codes that are available billing and reimbursement based on the high level of complexity of patient needs. These 2024 CPT codes align with the care provided and allow

Home-Based Medical Care Evaluation and Management (E/M) Guidelines - 2024

Home Visits E-M Guide

This resource is intended to serve as a reference for home-based providers that review the Evaluation and Management (E/M) documentation & coding guidelines on the criteria needed to support billing for the different levels of service for the home visit CPT range (CPT 99341-99350). Refer to CMS guidelines1 for full details and requirements.

Social Determinants of Health (SDoH) Screening and Coding Requirements - 2024

Social Determinants of Health

This resource is intended to provide home based medical care providers and practice staff an overview of the basic understanding of Social Determinants of Health (SDOH), its impact in patient care and medical decision making, and the importance of documentation in the SDOH Risk Assessment. All content reflects 2024 Centers for Medicare & Medicaid Services

Transitional Care Management (TCM) Face-To-Face Visit Requirements - 2024

TCM F2F Documentation Requirements

This resource is intended for home-based primary care (HBPC) providers and practice staff and defines the 2024 face-to-face documentation requirements for Transitional Care Management (TCM) Face -To - Face visits and serves as a reference when creating visit templates or building components into an Electronic Health Record (EHR). The content was gathered utilizing Centers for

Transitional Care Management (TCM) Interactive Contact Requirements - 2024

TCM Interactive Contact Requirements

This resource is intended for home-based primary care (HBPC) providers and practice staff and defines the 2024 requirements for the interactive contact required of clinical staff during the Transitional Care Management (TCM) period and serves as a reference when creating workflows or templates for outreach. The content was gathered utilizing Centers for Medicare & Medicaid

Chronic Care Management (CCM) Care Plan Template - 2024

Chronic Care Management (CCM) Care Plan Template - 2024

Our Comprehensive Chronic Care Management Plan Template is a tool aimed at enhancing the coordination and quality of care for individuals with chronic health conditions. This template serves as a structured framework to assist healthcare providers in developing personalized and effective care plans, fostering a proactive approach to managing chronic illnesses.

Interdisciplinary Team (IDT) Meeting Guide - 2024

IDT Meeting Guide

IDT meetings are an important tactic for house call programs to use to promote optimal care, quality outcomes, and team communication, often leading to improved clinical care and teamwork. This resource was developed to assist with the development and implementation of IDT team meetings for house call programs using the following recommended agenda items.

Remote Patient Monitoring - 2024

Remote Patient Monitoring

This resource is designed to guide house call programs in the use of remote patient monitoring services to care for their patients following the expansion and highlighted need for telemedicine as a result of the COVID-19 pandemic.

Patient Caregiver Satisfaction Survey Form - 2024

Patient Caregiver Satisfaction Survey Form

This survey seeks to assess various aspects of the healthcare experience, considering the perspectives of both those directly receiving care and those providing crucial support. By capturing insights from both parties, healthcare organizations can gain a holistic understanding of the quality of care and support services offered.

House Calls Medical History Form - 2024

House Calls Medical History Form - 2024

Semi-customizable & downloadable form used to gather important information about a patient’s past and current health status. This includes questions about the patient's medical history, including any illnesses or medical conditions, surgeries or hospitalizations, and medications they are currently taking. This comprehensive picture of a patient's health can help guide diagnosis and treatment decisions and

Patient Demographic Intake Form - 2024

Patient Demographic Intake Form

The Patient Demographic Intake Form is designed to collect key information about individuals seeking healthcare services. Serving as the foundational record in a patient's medical history, this form captures demographic details necessary for accurate identification, communication, and efficient management of their healthcare needs.

Patient and Provider Contract - Opioid Pain Medication - 2024

Patient and Provider Contract - Opioid Pain Medication

This contract serves as a vital document establishing a clear and comprehensive understanding between healthcare providers and patients regarding the responsible and appropriate use of opioid medications. This agreement is designed to ensure the safe and effective management of pain while minimizing the risks associated with opioid use.

Patient Communication Choices Authorization Form - 2024

Patient Communication Choices Authorization Form

This form empowers individuals to control the disclosure of their health information. By signing this form, patients grant explicit consent to a specified organization to share their health information with designated family and friends, as well as individuals involved in their care or the payment for their care

Crossroads of Care: Managing Serious Illness in the Home (Session 4 of 4)

Crossroad of care logo

With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients

Crossroads of Care: Managing Serious Illness in the Home (Session 3 of 4)

Crossroad of care logo

With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients

Crossroads of Care: Managing Serious Illness in the Home (Session 2 of 4)

Crossroad of care logo

With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients

Crossroads of Care: Managing Serious Illness in the Home (Session 1 of 4)

Crossroad of care logo

With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients

COVID-19 and Home-Base Care-What Have We Learned

HCCIntelligence Webinar Recordings

The world has changed significantly since the onset of the COVID-19 pandemic, but what did we learn about Home-Based Care and its role going forward? Review this HCCIntelligence™ Webinar Recording from May 2021 to explore this interactive discussion.

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