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Showing posts from November, 2018


Meet Ted. Ted is a resident at the local assisted living community. Throughout the week he sees several care providers, including a dietician, a dialysis specialist, and a lab tech for regular vitals and occasional tests. He takes four medications. Ted loves music and takes part in regular music therapy sessions as well as daily piano hour in the lounge. 
Just last week, Ted suffered a fall and had hip replacement surgery. He will now add to his regimen post-operative care as well as regular appointments with both a physical therapist and an occupational therapist. He will also add three medications. 
Today, between his standard care and medications as well as his post-operative care and medications, Ted has six care practitioners tending to him and is receiving support in properly managing seven medications. 
We all know that this is a typical case, and how easy it is for something to go array when there are so many variables. 
In fact, results from a recent AARP survey of over 1,800 adu…


A young boy rushes in to see his grandmother, embracing her. The two have an indelible bond, perhaps cultivated by a sort of inheritance of his mother’s deep love for her own mother and maybe something deeper. 
“Oma,” the boy whispers. 
“My darling,” his grandmother replies. 
What gets in the way of family connections like this one? 
Too often it’s complex, cumbersome and downright hard-to-manage care plans, which interrupt everyday moments of connection. According to LeadingAge, the nation’s leading advocacy organization in the aging services industry, a typical care plan[1]can include lab tests and/or dialysis to be completed, coordination of rehabilitation care appointments, diet management, sensory care, assistance with recreational, spiritual and cultural activities, and so much more. With all of those permutations, it’s easy to see how complex it can be to manage a single care plan, let alone dozens or even hundreds depending upon the care setting. 
What that complexity means for ind…


The Medicare program offers separate reimbursement for RPM (Remote Patient Monitoring) services billed under CPT code 99091 (effective January 1, 2018). Providers can get reimbursement of ~$59 per patient per month for RPM services billed under CPT code 99091.
This means healthcare providers have great opportunities to gain quick wins by remotely managing certain chronic conditions of their patients.
That service is defined as collection, review and interpretation of physiologic data (e.g., blood pressure, blood glucose monitoring, ECG) that is digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional.
The un-bundled CPT code 99091 means that healthcare providers will be able to get reimbursement separately for the time they spent on the above service. Any provider who clocks in a minimum of 30 minutes per month per patient for the above service is qualified to receive the payment under CPT 99091.
What Providers Should…