Do your medical records reflect the quality of care that you provide?

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  • Do your medical records reflect the quality of care that you provide?

With the continued migration of insurance payments from fee for service to quality we all feel the sting when our medical records do not assimilate the quality of care that we provide.  Fi-Med now offers a quality care platform to manage the coordination of chronic care services that Medicare reimburses and gives you points on your MACRA score.

Have you been hit with rankings from insurance that do not designate your practice as “superior quality” because you are missing records from a non-associated clinic?  Or that your treatment patterns are too aggressive and you are over-treating your patients and being designated by your insurance as a “Lower” Tiered Provider in which the patient seeing you has higher out-of-pocket expense?  Do you experience challenges meeting the new MACRA requirements?  Let’s begin today in proving our outcomes and improving the quality of our chronic patients care.

Chronic Care Management

Your first step in gaining traction is through Chronic Care Management.  Fi-Med is now offering this in-house service that will meet governmental regulations on the chronic care management service that provides at least 20 minutes of non face-to-face staff time each month that is dedicated to managing the patients care.  Fi-Med does the work and you get paid…

History

Medicare introduced chronic care management code 99490 in 2015 with a reimbursement of $43 per month, per patient, that is receiving 20-minutes of non face-to-face time. These patients required 2 chronic conditions that could lead to death or will need to be managed in the next 12 months. In 2017, Medicare expanded the codes to include those patients in which you are spending greater than 30 minutes and reimbursement potential $43 – $141 per month, per patient.

What does this mean to you?

Your patients’ care is coordinated.  Fi-Med gathers the patient’s medical records from all of their providers and organizes into one system.  You are able to see the patients entire health record on our platform.  You and your medical staff can provide better care and substantiate this care.  In addition, the physician is paid for the non face-to-face time Fi-Med and your staff provides to your patients.

Who is qualified to participate?

Primary Care Providers, Specialist Providers, Nurse Practitioners (NP), Physician Assistants (PA), Certified Nurse Specialist (CNS), Certified Nurse-Midwife (CNM) and their clinical staff

Here is a link that provides additional information:  https://www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives/chronic-care-management.html

Next Steps…

Let us know that you are interested and we will take this conversation to the next step in understanding the details of the process.

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