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CCM is a critical care component that contributes to better patient results with two or more chronic conditions. Chronic conditions include arthritis, asthma, atrial fibrillation, kidney disease, cancer, cardiovascular disease, obstructive pulmonary disease, depression, diabetes, hypertension, hyperlipidemia, osteoporosis, and mental health. CCM includes a comprehensive care plan with measurable treatment goals with patient instruction to addresses barriers to goals. Monthly live interaction helps the patient meet the customized goals and alleviate concerns. Medicare and private plans reimburse the provider monthly for CCM.
RPM is a plug and play technology to monitor patients remotely with one or more chronic condition. RPM can provide valuable feedback when patients are managing complex self-care processes as part of chronic-disease management. Key features include remote monitoring, live patient interaction, and trend analysis of physiological parameters which enable early detection of deterioration and reduction in hospitalization and duration. Medicare and private plans reimburse the provider monthly for RPM.
AWV is a collaborative process where patient and provider develop a comprehensive personalized prevention plan to improve health and prevent disease. This plan also can include advanced care directives and a health risk assessment which may identify an existing problem that can be treated in a screening such as depression, alcohol, and obesity. Medicare and private plans reimburse the provider for AWV annually in addition to monthly reimbursement for screenings.
CoCM delivers behavioral health services designed to enhance primary care by adding care management support for patients receiving behavioral health treatment, and regular psychiatric interspecialty consultation to the primary care team. Activities include an assessment and development of an individualized treatment plan reviewed by a psychiatric consultant. Additional patient follow-up with outcomes validated using rating scales and finally relapse prevention planning once remission of symptons is achieved and discharg from active treatment. Medicare and private plans reimburse the provider monthly for CoCM.
MTM optimizes medication use, reduce risk of adverse events, and improve adherence by helping people better understand their health conditions and the medications used to manage them. This includes providing education on the disease state and medications used to treat the disease state, ensuring that medicines are taken correctly, reducing waste due to unused medicines, looking for any side effects, and providing education on how to manage any side effects. The medication therapy review has the pharmacist review all of the medications and dietary supplements an individual is taking to look for any duplications or dangerous drug interactions and can be valuable for people who are older, have several chronic conditions, take multiple medications, or are seen by multiple doctors. Medicare and private plans reimburse the provider monthly for MTM.
Using sophisticated remote monitoring systems:
STEP 1 – Perform monthly checks
STEP 2 – Monitor vitals
STEP 3 – Act as a liaison between patient & provider
STEP 4 – Collect data & report to provider in a manner chosen
STEP 5 – Provider utilizes feedback towards an added level of preventative care
THE PREVENTEL HEALTH TEAM is comprised of multidisciplinary healthcare professionals that understand your practice and business through experience across the industry. Our founders include clinically educated medical professionals who have leadership positions within healthcare management. Our passion is to execute preventive care efficiently to maximize results. Our full team consists of RN’s, NPs, medical assistants, health coaches, dietitians, social workers, and pharmacists, who work in clinical settings on behalf of their patients and bring that experience to Preventel Health on behalf of doctors and healthcare institutions
OUR FOUNDERS include medical professionals that have a background in successfully executing preventative care efficiently to maximize results. The Preventel health team is comprised of multidisciplinary healthcare professionals that understand YOUR practice and YOUR business.