What you'll learn
- Coordinate Care for patients with multiple medical conditions. At the end of this course, you will be able to properly coordinate care via medication reconciliation, coordination of care, scope of practice and red flag signs.
Requirements
- In order to be enrolled into this course one needs to have a desire to learn regarding care coordination
Description
Chronic Care Management (CCM) is defined as the non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more), significant chronic conditions. In addition to office visits and other face-to face encounters (billed separately), these services include communication with the patient and other treating health professionals for care coordination (both electronically and by phone), medication management, and being accessible 24 hours a day to patients and any care providers (physicians or other clinical staff). The creation and revision of electronic care plans is also a key component of CCM.
The designated CCM clinician (MD, PA, NP) must establish, implement, revise, or monitor and manage an electronic care plan that addresses the physical, mental, cognitive, psychosocial, functional and environmental needs of the patient as well as maintain an inventory of resources and supports that the patient needs. Thus, the practice must use a certified EHR to bill CCM codes.
Only one clinician can bill for any particular patient therefore it may be necessary to coordinate with
the sub-specialists who may be providing a significant amount of care and treatment to one or more of
the patient’s conditions. It will be important that the patients understand only one of their likely
multiple physicians will be able to bill for CCM services.
Who this course is for:
- Chronic Care Coordinators
Course content
- Preview00:26
- 02:03CCM in Action
- 02:00What Is The CCM Program?
- 03:18Resources Needed To Provide CCM Services
- 04:59Who Is An Eligible Provider?
- 02:24Who Is An Eligible Patient?
- 02:16Patient Consent
- 06:25Practice CCM Requirements Part I
- 05:55Practice CCM Requirements Part II
- 01:5420 Minutes Of Non Face To Face Time
- 03:46Who Can Perform CCM Services ?
- 02:34Documenting CCM Time
- 02:45Office Visit & CCM ?
- 01:44Billing For CCM Services
- 03:37Duplicate Services
- 03:33Complex CCM CPT 99487
- 01:44Care Plan Development G0506
- 02:56Summary Of Important Points
- 10:49Enrolling Patients
- 01:34Patient SnapShot
- 20:35Patient Care Plan
- 05:00Finished Care Plan
- 07:28Monthly Review
- 01:54Edit Patient Info Feature
- 02:17CCM Statistics
- 05:42Lines Of Communication
- 03:30Scope Of Practice
Instructor
Dr. Erik Ilyayev MD
Received his training from NY Methodist Hospital and Memorial Sloan Kettering Hospital in Manhattan. He is in the forefront of continuing education, always looking for new medical breakthroughs to help his patients.
Dr. Ilyayev started his House-Call practice right after completing his residency. He realized that there were elderly homebound patients who have not seen a doctor in years. He also realized that by seeing these patients in their home, this would decrease the rate of hospitalizations thereby doing his role in decreasing our national healthcare related costs.
Dr. Erik Ilyayev's positive attitude and self-motivation is the reason he is booked one month in advance.
Dr. Erik Ilyayev gives weekly lectures to medical students at Kingsbrook Jewish medical center. His lectures are in the various topics of internal medicine.
He is also involved in honing the students educational abilities to transform them from Medical students to their postgraduate education as medical residents.
He was extensively involved in developing the Internal Medicine clinical rotation at Kingsbrook Jewish Medical Center, integrating resident interaction with medical students.
He is also very heavily involved in developing the core didactic lecture schedule and topics for the internal medicine clerkship at Kingsbrook Jewish Medical Center