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behavioural health
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Understanding Integrated Behavioral Health Care or IBHC

One of the biggest problems today is the growing number of behavioral health disorders affecting millions of people globally. In fact, CDC reported that 40% of Americans suffer from behavioral and mental health issues. Recognizing early signs of mental health problems and teaching family members to determine when one of

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The Basics of Medicare and Chronic Care Management: A Guide

Accessing relevant medical services is necessary to keep your wellness in check, especially as you become older. Fortunately, you can benefit from Medicare, a national health insurance program by the Centers for Medicare and Medicaid Services.  One particular service worth mentioning is chronic care management (CCM), a healthcare program designed

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Tips on How to Improve Transitional Care Communication

Moving a patient from one facility to another can be dangerous. In fact, there is an increased risk that adverse events can happen due to miscommunications within this process.  Every time someone is discharged from a hospital and transferred to another care facility, it is a complex process. In order

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Everything You Need to Know About Chronic Care Management

Over the past years, more and more providers in the healthcare industry have considered incorporating chronic care management (CCM) into their practices. This is expected as CCM can yield many benefits for medical practices by improving the overall quality of care offered to patients dealing with chronic illnesses, especially when

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Understanding Chronic Care Management and Its Importance

Chronic care management (CCM) continues to be a point of discussion in the healthcare industry as more providers are showing interest in implementing CCM into their practice. More than 133 million US citizens suffer from a chronic disease, which results in 85% of the countries healthcare expenses going towards the

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Investing In A Value-Based Model For Better Mental Health Services

The healthcare sector is constantly changing, and the advent of technology has allowed patient service and satisfaction to increase significantly. More and more efficient systems are introduced in various areas, and such changes have become key to revolutionizing the world of medicine forever.  One of the most prevalent models of

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The Significant Challenges of Chronic Care Management

Caring for patients struggling with chronic conditions is more complicated than meets the eye, especially when transitioning them out of an inpatient facility. While it involves plenty of routines, medications, and check-ups, the reality is that patients want to live a life that isn’t defined by their sickness. Unfortunately, this

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Integrated Behavioral Health: Benefits for Patients & Providers

Behavioral health conditions are extremely common, affecting nearly one in five Americans. The annual health care costs for behavioral health conditions amount to $57 billion, on par with cancer. However, behavioral health care is often separated from the primary care system, resulting in a lower standard of care for patients.

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What Are the Benefits of Chronic Care Management Plans?

Today’s world has more people aging and many developing chronic diseases that aren’t only the typical physical health ailments anymore. Asides from diabetes and high blood pressure being extremely pressing issues for decades, behavioral health like substance abuse disorders and mental health are also prominent. This shift in medical issues

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Challenges Associated With Behavioral Health Integration

Taking better care of your mental health is now made easier by taking advantage of behavioral health integration. This type of care deals with medical illnesses, health behaviors, substance abuse conditions, life stressors, and stress-related physical symptoms. It combines medical conditions and other behavior-related factors that affect your health. Because

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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).