Practice Administrator Cullman Internal Medicine PC
Eligible for: ACMPE: 1 | ACHE: 1 | CEU: 1 | CME(AAPC*): 1 | CPE: 1.2 | PDC: 1 Traditional | Intermediate | Analysis * This session is included in the 2025 MGMA Summit education program.
Learn strategies for patient outreach that streamline value-based care (VBC) initiatives with chronic care management (CCM) services. Through a visualization of real-world data, the audience will tap into unrealized potential within their own organizations to drive additional revenue through leveraging patient-centric CCM to close care gaps. This leads to higher reimbursement through greater incentive payments and accountable care organization (ACO) shared savings. CCM teams have a unique opportunity to build trust and strengthen the patient-provider relationship. Often patients are more comfortable sharing sensitive information, such as loneliness and depression or social determinants of health, with their care manager rather than their provider. Strong communication processes feed actionable information to connect patients with necessary resources and give providers insights into the patient’s health status. A sample action plan will be provided to assist chronically ill patients with medication adherence problems, controlling hypertension, reducing unnecessary emergency room visits, and many other issues. Additionally, a checklist of who should be involved and suggested tools and resources will be given to attendees to help facilitate a successful implementation.
Learning Objectives:
Outline the basics of a successful CCM program, including billable CPT(r) codes and eligible diagnoses
Organize an entire year’s worth of content to provide timely patient communication topics
Point out which key stakeholders are needed to build a strong team for ensuring patient-centric care that enhances VBC performance
