In the recent past we have produced several webinars and articles outlining the Chronic Care Management (CCM) and Transitional Care Management (TCM) programs.
This article will focus on the practical application of functionality in your electronic health record (EHR) to meet the requirements of CCM/TCM and
to manage your patients enrolled in these programs. Many EHR vendors have not had sufficient time to provide needed functions or accommodate the most
recent regulation modifying CCM that provided increased flexibility. This article addresses the program requirements of EHRs in general, although a
few vendors are mentioned by name that provide specific functions.
Adoption of a CCM/TCM program in your organization is critical for improving the health of patients with two or more chronic conditions, such as hypertension
and diabetes, while also providing the necessary funding to meet these goals. Studies show that approximately 68 percent of Medicare beneficiaries
have two or more chronic conditions while 36 percent have four or more conditions. Ensuring that these patients receive the needed care and coaching
to improve wellness necessitates services outside of regular face-to-face visits which, in turn, necessitates additional funding to provide these
services. Thankfully, the CCM/TCM regulation makes additional funds available, and recent modifications to the CCM program makes documentation
and technical requirements easier to meet. Also, developing strong CCM/TCM programs will build key core competencies for MACRA, CPC+ and other
value-based payment programs.
Here is the full article.
Here is the recording session that accompanies the article.