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| complex chronic care management: Closing the Quality Gap Kaveh G. Shojania, 2004 |
| complex chronic care management: Definition of Serious and Complex Medical Conditions Institute of Medicine, Committee on Serious and Complex Medical Conditions, 1999-10-19 In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients. |
| complex chronic care management: Assessing Chronic Disease Management in European Health Systems World Health Organization, 2015-12-16 This publication explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on 12 detailed country reports (available in a second, online volume), the study provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches. |
| complex chronic care management: Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes Institute of Medicine, Board on Global Health, Committee on Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes, 2015-12-15 Interprofessional teamwork and collaborative practice are emerging as key elements of efficient and productive work in promoting health and treating patients. The vision for these collaborations is one where different health and/or social professionals share a team identity and work closely together to solve problems and improve delivery of care. Although the value of interprofessional education (IPE) has been embraced around the world - particularly for its impact on learning - many in leadership positions have questioned how IPE affects patent, population, and health system outcomes. This question cannot be fully answered without well-designed studies, and these studies cannot be conducted without an understanding of the methods and measurements needed to conduct such an analysis. This Institute of Medicine report examines ways to measure the impacts of IPE on collaborative practice and health and system outcomes. According to this report, it is possible to link the learning process with downstream person or population directed outcomes through thoughtful, well-designed studies of the association between IPE and collaborative behavior. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes describes the research needed to strengthen the evidence base for IPE outcomes. Additionally, this report presents a conceptual model for evaluating IPE that could be adapted to particular settings in which it is applied. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes addresses the current lack of broadly applicable measures of collaborative behavior and makes recommendations for resource commitments from interprofessional stakeholders, funders, and policy makers to advance the study of IPE. |
| complex chronic care management: Managing Chronicity in Unequal States Laura Montesi, Melania Calestani, 2021-11-22 By portraying the circumstances of people living with chronic conditions in radically different contexts, from Alzheimer’s patients in the UK to homeless people with psychiatric disorders in India, Managing Chronicity in Unequal States offers glimpses of what dealing with medically complex conditions in stratified societies means. While in some places the state regulates and intrudes on the most intimate aspects of chronic living, in others it is utterly and criminally absent. Either way, it is a present/absent actor that deeply conditions people’s opportunities and strategies of care. This book explores how individuals, groups and communities navigate uncertain and unequal healthcare systems, in which inherent moral judgements on human worth have long-lasting effects on people’s wellbeing. This is key reading for anyone wishing to deconstruct the issues at stake when analysing how care and chronicity are entangled with multiple institutional, economic, and other circumstantial factors. How people access the available informal and formal resources as well as how they react to official diagnoses and decisions are important facets of the management of chronicity. In the arena of care, people with chronic conditions find themselves negotiating restrictions and handling issues of power and (inter)dependency in relationships of inequality and proximity. This is particularly relevant in current times, when care has given in to the lure of the market, and the possibility of living a long and fulfilling life has been drastically reduced, transformed into a ‘reward’ for the few who have been deemed worthy of it. |
| complex chronic care management: Federal Register , 2013-07 |
| complex chronic care management: Advances in Patient Safety Kerm Henriksen, 2005 v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products. |
| complex chronic care management: Eliminating Barriers to Chronic Care Management in Medicare United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 2003 |
| complex chronic care management: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. |
| complex chronic care management: Textbook of Community Psychiatry Wesley E. Sowers, Hunter L. McQuistion, Jules M. Ranz, Jacqueline Maus Feldman, Patrick S. Runnels, 2022-10-17 The second edition of the AACP's (American Association for Community Psychiatry) Textbook of Community Psychiatry is a welcome update of this notable work that comprehensively presents the state of the art in this field. Along with continuously evolving scientific advances and principles of clinical care, community psychiatry must respond to shifts in public policy as well as economic climate. The past decade has witnessed significant political and social changes, including climate change, immigration levels, technological advancement, the influence of social media and the rise of political unrest. This new edition reflects these wider changes, incorporating new chapters and enhancing previous ones. It remains the standard text for certification of those working in healthcare and social welfare systems design and delivery of services. Readers will gain knowledge of: Basic pillars of the field Evidence based interventions Telepsychiatry and technological aids Trauma informed services Integrated health systems Social determinants of health Structural discrimination |
| complex chronic care management: Chronic Illness United States. Congress. Senate. Committee on Finance, 2015 |
| complex chronic care management: Public Health Ethics: Cases Spanning the Globe Drue H. Barrett, Leonard W. Ortmann, Angus Dawson, Carla Saenz, Andreas Reis, Gail Bolan, 2016-04-20 This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics. |
| complex chronic care management: Chronic Complex Diseases of Childhood Shahram Yazdani, Sean McGhee, Richard Stiehm, 2011 This new book is a practical guide for physicians and other professionals who care for children and adolescents with complex, chronic diseases. These disorders are a challenge because they require multiple services, the information about the disorders are scattered, and the exact treatments are not available in standard texts. To overcome these barriers, this book provides a summary of the clinical features, laboratory diagnosis, and the general and specific treatments needed for optimal care of these children. The key points are presented in a clear, succinct format, providing recommendations that can be implemented within the time span of an office or emergency room visit. Furthermore, pitfalls that are encountered are emphasized and alternatives are suggested. For example, this resource outlines: - Routine and special vaccines that are needed or contraindicated for these children - Interactions between drugs and diseases that could result in surprising adverse effects - Care of medical devices such as gastrostomy tube and nebulizer machine - Specific medical treatment with the appropriate medication dosage - Chronic wound care - Education and rehabilitation recommendations - Patient support groups This book not only provides a disease specific guide, but also instructions for creating a medical home, information on disease-drug interactions, and references for further study. |
| complex chronic care management: Families Caring for an Aging America National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Family Caregiving for Older Adults, 2016-12-08 Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults. |
| complex chronic care management: Engineering a Learning Healthcare System National Academy of Engineering, Institute of Medicine, 2011-07-14 Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system. |
| complex chronic care management: Managing care pathways for patients with complex care needs Magdalena Smeds, 2019-05-15 One of the central challenges for the healthcare system today is how to manage care for patients with complex needs. This patient group is not well-defined but covers patients with serious diseases and comorbidities, or with a limited ability to perform basic daily functions due to physical, mental or psychosocial challenges. This group has a high service and resource utilisation resulting in high costs for the healthcare system and, typically, poor health outcomes. To improve care for these patients, it is necessary to implement strategies to manage the differentiated care needs, the additional support needs, the uncertainty in care delivery, and the coordination needs of the involved providers and the patient. Care pathways are increasingly used internationally to make care more patient-centred and to structure and design care processes for individual patient groups. Important elements in care pathways include structuring care activities, by defining their content and sequence; coordinating between providers and professionals; and involving patients in their care process. In this thesis, care pathways are proposed as the overall strategy for managing care for patients with complex care needs. The purpose of this thesis is thus to contribute with knowledge on how care pathways can be managed for patients with complex care needs. This is achieved by analysing how the practices coordination, standardisation, customisation and personalisation can support management of care pathways and by discussing how these practices influence quality of care. The quality of care dimensions discussed are accessible, timely, equitable, and patient-centred care. The empirical context in this thesis is the Standardised Cancer Care Pathways (CCPs) which were implemented in Sweden from 2015 to 2018. CCPs is the umbrella term for the national initiative to shorten waiting times, decrease regional differences and reduce fragmentation in care processes. CCPs include elements such as diagnosis-specific pathways and guidelines, introduction of CPP coordinators, and mandatory reporting of waiting times. Focus has been on implementing care pathways for 31 cancer diagnoses in all Swedish healthcare regions. Both qualitative and quantitative research methods have been used. A case study was conducted to examine standardised and customised care pathways, and coordination and multidisciplinary work in care pathways. A document study of regional reports on CCPs was analysed to study effects of care pathways on accessibility, timeliness and equitability. Finally, a national survey was conducted to deepen the understanding of the role of coordination, as performed by coordinators, in care pathways. This thesis argues that standardised and customised care pathways should be combined to manage care for patients with complex care needs. The customised pathway in particular benefits patients with serious unspecific symptoms, unknown primary tumour or more complex care needs, while patients with care needs that can be treated independently of the main diagnosis benefit from following a standardised care pathway. Coordinators are an important means to manage coordination, customisation and personalisation in the care pathway. The coordinators’ role is twofold: the first role is to manage care pathways by customising the care pathway and coordinating involved providers; the second role is to support and guide patients through the care pathway. This can be achieved by adapting interpersonal communication with patients through personalisation. This thesis further argues that care pathways have most potential to positively influence accessibility, timeliness, equitability, and patient-centredness. Accessibility has been positively influenced, especially for patients with ambiguous symptoms where symptoms indicating cancer have improved their chances of accessing cancer diagnostics. A negative aspect of prioritising patients who follow CCPs has been the potentially longer waiting times for other patient groups in equal need of urgent care. Notwithstanding, prioritised access to care is perceived to positively influence timeliness for patients following CCPs. Care pathways are perceived to have positively influenced patient-centredness by shifting the focus from what to deliver to how to deliver it. |
| complex chronic care management: Chronic Illness Pamala D. Larsen, Ilene Morof Lubkin, 2009 The new edition of best-selling Chronic Illness: Impact and Intervention continues to focus on the various aspects of chronic illness that influence both patients and their families. Topics include the sociological, psychological, ethical, organizational, and financial factors, as well as individual and system outcomes. The Seventh Edition has been completely revised and updated and includes new chapters on Models of Care, Culture, Psychosocial Adjustment, Self-Care, Health Promotion, and Symptom Management. Key Features Include: * Chapter Introductions * Chapter Study Questions * Case Studies * Evidence-Based Practice Boxes * List of websites appropriate to each chapter * Individual and System Outcomes |
| complex chronic care management: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system. |
| complex chronic care management: Repealing the SGR and the Path Forward United States. Congress. Senate. Committee on Finance, 2013 |
| complex chronic care management: The Physician Billing Process Deborah L. Walker, Sara M. Larch, Elizabeth W. Woodcock, 2004 Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance. |
| complex chronic care management: Patient Centered Medicine Omur Sayligil, 2017-04-12 Patient-centered medicine is not an illness-centered, a physician-centered, or a hospital-centered medicine approach. In this book, it is aimed at presenting an approach to patient-centered medicine from the beginning of life to the end of life. As indicated by W. Osler, It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has. In our day, if the physicians and healthcare professionals could consider more than the diseased organ and provide healthcare by comforting the patients by respecting their values, beliefs, needs, and preferences; informing them and their relatives at every stage; and comforting the patients physically by controlling the pain and relieving their worries and fears, patients obeying the rules of physicians would become patients with high adaptation and participation to the treatment. |
| complex chronic care management: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| complex chronic care management: Conquer Medical Coding 2018 Jean Juek, Stacey Mosay, DaphneNeris, 2017-12-25 Take a real-world approach to coding that prepares you for the AAPC or AHIMA certification exams and for professional practice in any health care setting. The book is also a handy resource you can turn to throughout your career. Unique decision trees show you how to logically assign a code. It's the only text that breaks down the decision-making process into a visual and repeatable process! You’ll learn exactly how to select the correct ICD-10, CPT, and HCPCS codes. Each section parallels the Official Coding Guidelines, with a special emphasis on commonly used codes. A wealth of learning tools and tips, along with critical-thinking exercises and real-life case studies, provide the practice you need to master coding. Brief reviews of A&P and pathophysiology put the codes into perfect context. |
| complex chronic care management: Genetics of Complex Disease Peter Donaldson, Ann Daly, Luca Ermini, Debra Bevitt, 2015-08-25 Genetics of Complex Disease is a concise text for final year undergraduate and first year graduate students. Healthcare professionals and other biomedical scientists trying to come to grips with the impact of new genetics research will also find the book useful. After explaining genetic variation and defining complex diseases, the text shows how and why complex diseases are investigated. The focus then changes to areas where there is strong evidence for the genes/alleles involved. Important ethical consequences are also covered, as are the methods used to generate new genetic data. |
| complex chronic care management: Medicare Chronic Care Improvement Program United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 2005 |
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| complex chronic care management: Step-By-Step Medical Coding Carol J. Buck, 2013 Take your first step toward a successful career in medical coding with comprehensive coverage from the most trusted source in the field! Step-by-Step Medical Coding, 2013 Edition is the practical, easy-to-use resource that shows you exactly how to code using all of today's coding systems. In-depth, step-by-step explanations of essential coding concepts are followed by practice exercises to reinforce your understanding. In addition to coverage of reimbursement, ICD-9-CM, CPT, HCPCS, and inpatient coding, the 2013 edition offers complete coverage of the ICD-10-CM diagnosis coding system in preparation for the eventual transition. No other text on the market so thoroughly prepares you for all coding sets in one source! Dual coding in Units 4 and 5 (where both ICD-10 and ICD-9 answers are provided for every exercise, chapter review, and workbook question) ensures you can code using the systems of both today and tomorrow. Complete coverage of the new ICD-10 code set in Unit 2 prepares you for the eventual transition from ICD-9 to ICD-10. Official Guidelines for Coding and Reporting boxes in Units 2, 3, and 5 present the official outpatient and inpatient guidelines alongside text discussions. Concrete real-life coding examples help you apply important coding principles and practices to actual scenarios from the field. Over 500 total illustrations of medical procedures or conditions help you understand the services being coded. Four coding question variations develop your coding ability and critical thinking skills: One answer blank for coding questions that require a one-code answer Multiple answer blanks for coding questions that require a multiple-code answer Identifiers next to the answer blank(s) to guide you through the most difficult coding scenarios Answer blanks with a preceding symbol (3 interlocking circles) indicates that the user must decide the number of codes necessary to correctly answer the question In-text exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, emphasize key information, and test your retention and understanding. From the Trenches, Coding Shots, Stop!, Caution!, Check This Out!, and CMS Rules boxes offer valuable, up-to-date tips and advice for working in today's medical coding field. Coder's Index makes it easy to instantly locate specific codes. Practice activities on the companion Evolve website reinforce key concepts from the text. Updated content presents the latest coding information so you can practice with the most current information available. |
| complex chronic care management: E&M Coding Clear & Simple Terri Ann Brame, 2013-09-16 This easy-to-read text breaks these complex codes into manageable, bite-sized pieces. Practice questions and real-world case studies help you apply your knowledge and approach any coding situation with confidence. |
| complex chronic care management: Step-By-Step Medical Coding, 2016 Edition Carol J. Buck, Jackie L. Grass, 2015-12-02 Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! From bestselling author Carol J. Buck, Step-by-Step Medical Coding, 2016 Edition is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. Practice exercises follow each 'step' of information to reinforce your understanding of important concepts. In-depth coverage includes reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, with an Evolve website that includes 30-day access to TruCode? Encoder Essentials. No other text so thoroughly covers all coding sets in one source! 30-day access to TruCode? Encoder Essentials and practice exercises on the Evolve companion website provide additional practice and help you understand how to utilize an encoder product. A step-by-step approach makes it easier to build skills and remember the material. Over 475 illustrations include medical procedures and conditions to help you understand the services being coded. Real-world coding reports (cleared of any confidential information) simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. Dual coding includes answers for both ICD-10 and ICD-9 for every exercise, chapter review, and workbook question to help you ease into the full use of ICD-10. Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. From the Trenches, Coding Shots, Stop!, Caution!, Check This Out!, and CMS Rules boxes offer valuable tips and helpful advice for working in today's medical coding field. Four coding-question variations develop your coding ability and critical thinking skills, including one-code or multiple-code answers. Official Guidelines for Coding and Reporting boxes allow you to read the official wording for inpatient and outpatient coding alongside in-text explanations. Coders' Index makes it easy to quickly locate specific codes. Appendix with sample Electronic Health Record screenshots provides examples similar to the EHRs you will encounter in the workplace. Online practice activities on Evolve include questions such as multiple choice, matching, fill-in-the-blank, and coding reports. A workbook corresponds to the textbook and offers review and practice with more than 1,200 theory, practical, and report exercises (odd-numbered answers provided in appendix) to reinforce your understanding of medical coding. Available separately. NEW! Separate HCPCS chapter expands coverage of the HCPCS code set. UPDATED content includes the latest coding information available, promoting accurate coding and success on the job. |
| complex chronic care management: Step-by-Step Medical Coding, 2017 Edition - E-Book Carol J. Buck, 2016-11-08 Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! From Carol J. Buck, the bestselling Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. Practice exercises follow each 'step' of information to reinforce your understanding of important concepts. In-depth coverage includes reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, with an Evolve website that includes 30-day access to TruCode® Encoder Essentials. No other text so thoroughly covers all coding sets in one source! - 30-day access to TruCode® Encoder Essentials (in addition to separate encoder practice exercises on the Evolve companion website) help you understand how to utilize an encoder. - A step-by-step approach makes it easier to build skills and remember the material. - UNIQUE! Real-world coding reports (cleared of any confidential information) simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. - Over 500 illustrations include medical conditions and procedures to help you understand the services being coded. - Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. - Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. - UNIQUE! Four coding-question variations develop your coding ability and critical thinking skills, including one-code or multiple-code answers. - Official Guidelines for Coding and Reporting boxes allow you to read the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - UNIQUE! Coders' Index makes it easy to quickly locate specific codes. - Sample Electronic Health Record screenshots in the appendix provide examples similar to the EHRs you will encounter in the workplace. - Online practice activities on Evolve include questions such as multiple choice, matching, fill-in-the-blank, and coding reports. - A workbook corresponds to the textbook and offers review and practice with more than 1,200 theory, practical, and report exercises (odd-numbered answers provided in appendix) to reinforce understanding of medical coding. Available separately. - Medical Coding Online uses animations, photographs, drawings, narrated slide shows, case-based exercises, pop-up definitions, and professional insights to reinforce coding concepts from the Step-by-Step text. Available separately. |
| complex chronic care management: Buck's Step-by-Step Medical Coding, 2021 Edition Elsevier, 2020-11-08 Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck's Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! - Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. - A step-by-step approach makes it easier for students to build coding skills and remember the material. - Learning objective and glossary review questions reinforce student understanding of key chapter concepts and terms. - 30-day trial to TruCode® Encoder Essentials gives students experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). - UNIQUE! Real-life coding reports (cleared of any confidential information) simulate the reports students will encounter as coders, and help them apply coding principles to actual cases. - Online activities on Evolve provide extra practice with assignments, including coding reports. - More than 450 illustrations help in understanding the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. - UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop students' coding ability and critical thinking skills. - UNIQUE! Coders' Index in the back of the book makes it easy to quickly locate specific codes. - Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. - Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. - Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records students will encounter in the workplace. - NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. - NEW! Coverage of CPT E/M Guidelines changes for Office and Other Outpatient codes. |
| complex chronic care management: Buck's Step-by-Step Medical Coding, 2024 Edition - E-Book Elsevier, 2023-11-20 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Health Information Management** Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck's Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! - Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. - A step-by-step approach makes it easier to build your coding skills and remember the material. - Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms - Coverage reflects the latest CPT E/M guidelines changes for office and other outpatient codes. - 30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). - UNIQUE! Real-life coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. - Online activities on Evolve provide extra practice with assignments, including coding reports. - More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. - UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills. - UNIQUE! Coders' Index in the back of the book makes it easy to quickly locate specific codes. - Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. - Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. - Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records you will encounter in the workplace. - NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. |
| complex chronic care management: Buck's Step-by-Step Medical Coding, 2020 Edition E-Book Elsevier, 2019-11-28 NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. |
| complex chronic care management: Developing a Poly-Chronic Care Network Pierce Story, MPHM, 2012-10-29 Although much has been achieved in care coordination and accountable care, healthcare leaders need additional, game-changing innovations to deal with constraints in clinical resources, care capacity, and cost that have not yet been fully addressed. This need for innovation is especially great in the care of the chronically ill: the most costly, hig |
| complex chronic care management: Buck's 2023 Step-by-Step Medical Coding - E-Book Elsevier, 2022-11-27 Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck's Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! - Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. - A step-by-step approach makes it easier to build your coding skills and remember the material. - Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms - 30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). - UNIQUE! Real-life coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. - Online activities on Evolve provide extra practice with assignments, including coding reports. - Coverage reflects the latest CPT E/M guidelines changes for office and other outpatient codes. - More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. - UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills. - UNIQUE! Coders' Index in the back of the book makes it easy to quickly locate specific codes. - Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. - Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. - Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records you will encounter in the workplace. - NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. |
| complex chronic care management: Buck's Step-by-Step Medical Coding, 2022 Edition - E-Book Elsevier, 2021-11-24 Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck's Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! - Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. - A step-by-step approach makes it easier to build your coding skills and remember the material. - Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms - 30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). - UNIQUE! Real-life coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. - Online activities on Evolve provide extra practice with assignments, including coding reports. - More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. - UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills. - UNIQUE! Coders' Index in the back of the book makes it easy to quickly locate specific codes. - Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. - Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. - Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records you will encounter in the workplace. - NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. - Coverage reflects the latest CPT E/M guidelines changes for office and other outpatient codes. |
| complex chronic care management: Buck's Coding Exam Review 2024 - E-Book Elsevier, 2023-11-23 - NEW! Updated content features the latest coding information available, promoting accurate coding and success on the job. |
| complex chronic care management: Self-Management in Chronic Illness Jose Frantz, Laura Schopp, Anthea Rhoda, 2021-04-20 Self-management is a term that was used as early as the 1960s when it was applied during the rehabilitation of chronically ill children. Subsequently, self-management was applied as formalized programs for a variety of populations and health issues. In reflecting on self-management, it is important to note that it would be difficult for individuals not to be aware of their specific health behaviors, which could include unhealthy behaviors. As self-management has evolved, essential skills identified include behavioral modeling, decision making, planning, social persuasion, locating, accessing and utilizing resources, assisting individuals to form partnerships with their health care providers and taking action. These are key skills that would benefit health professional educators, clinicians and patients. This book, consisting of three parts, provides insights into the aspects of self-management as it relates to its definition and application. It highlights how self-management can be applied to various long-term health conditions, for different populations or target groups and in different contexts. The text provides an overview of self-management and the rationale for its applications by illustrating its use in specific clinical conditions and in different sub-populations and target groups. Academics can use the book as a textbook when teaching postgraduate and undergraduate students about self-management as a technique to facilitate community reintegration for individuals living with long-term conditions. It can also be used by clinicians to enhance their management of individuals with long-term conditions. Furthermore, researchers can use the text to expand and support their research in this area. |
| complex chronic care management: Living Well with Chronic Illness Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Living Well with Chronic Disease: Public Health Action to Reduce Disability and Improve Functioning and Quality of Life, 2011-06-30 In the United States, chronic diseases currently account for 70 percent of all deaths, and close to 48 million Americans report a disability related to a chronic condition. Today, about one in four Americans have multiple diseases and the prevalence and burden of chronic disease in the elderly and racial/ethnic minorities are notably disproportionate. Chronic disease has now emerged as a major public health problem and it threatens not only population health, but our social and economic welfare. Living Well with Chronic Disease identifies the population-based public health actions that can help reduce disability and improve functioning and quality of life among individuals who are at risk of developing a chronic disease and those with one or more diseases. The book recommends that all major federally funded programmatic and research initiatives in health include an evaluation on health-related quality of life and functional status. Also, the book recommends increasing support for implementation research on how to disseminate effective longterm lifestyle interventions in community-based settings that improve living well with chronic disease. Living Well with Chronic Disease uses three frameworks and considers diseases such as heart disease and stroke, diabetes, depression, and respiratory problems. The book's recommendations will inform policy makers concerned with health reform in public- and private-sectors and also managers of communitybased and public-health intervention programs, private and public research funders, and patients living with one or more chronic conditions. |
| complex chronic care management: Understanding Health Information Systems for the Health Professions Jean A Balgrosky, 2019-03-19 Covering the principles of HIS planning, cost effectiveness, waste reduction, efficiency,population health management, patient engagement, and prevention, this text is designed for those who will be responsible for managing systems and information in health systems and provider organizations. |
MLN909188 Chronic Care Management Services - Centers for …
CMS recognizes chronic care management (CCM) as a critical primary care service that contributes to better Medicare patient health and care. We pay for CCM services provided to patients with …
Complex Care Management Guidelines - Mi-CCSI
This document is a guide to help you prepare, refine, and train for the complex care management of individuals with multiple chronic conditions, limited functional status, and/or psychosocial needs.
Chronic Care Management and Advance Care Planning - Anthem
What are Chronic Care Management Services? Chronic Care Management 99490 is defined as the following: im directed by a physician or other qualified health care professional, per calendar …
Complex Care Management - State of Michigan
Define evidence based components of complex care management. Explore coordination of care across the community, showing the relationship of the primary care office, Maternal Infant Health …
Chronic Care Management (CCM) Services FAQs
Q. What is the diference between chronic care management (99490) and complex chronic care management services (99487, 99489)? t are th rting requirements is able to bill for CCM. …
Complex Care Management Toolkit
The following document is a guide to improving and implementing a complex care management program for individuals with multiple chronic conditions, limited functional status, and …
CHRONIC CARE MANAGEMENT TOOLKIT
This toolkit includes information for health care professionals, professional and patient organizations, and community groups, including tips for getting started, fact sheets on the …
Chronic Care Management in Practice: - CAPC
Chronic Care Management (CCM) and Complex Chronic Care Management (CCCM) are critical components of primary care that contribute to better outcomes and higher satisfaction for patients
Care management of patients with complex health care needs
The six components of the Chronic Care Model are pertinent to care management of complex patients: health system organization, community resources, information systems, decision sup …
Chronic Care Managment FAQ - State of Michigan
Complex Chronic Care Management (CCCM) and Chronic Care Management (CCM) refers to specific CMS services. Unlike “Care Management,” CCCM and CCM are paid for separately …
WHAT IS CHRONIC CARE MANAGEMENT (CCM)?
CCM engages patients in their own care and educates them on their chronic conditions. Separate from traditional primary care, it provides access to care outside of and in between doctors’ visits. …
CMS Chronic & Principal Care Management Services: …
Implementing the Centers for Medicare & Medicaid Services’ (CMS) chronic and principal care management (CCM/PCM) services provides an opportunity to put a framework around care …
Complex Puzzle: How Payers Are Managing Complex and …
Payers have designed disease management (DM) programs for members with common chronic diseases, and complex case management (CCM) programs for patients who experience a critical …
Complex and Chronic Patient Management - Optum
Our Complex and Chronic Patient Management program helps you create an efficient and effective care team and works as an extension of your practice to build on your in-office care, targeting …
Chronic Care Management
This resource is intended for home-based primary care (HBPC) providers and practice staff and provides an overview of the required elements for the Chronic Care Management (CCM) Care Plan.
Chronic Care Management Frequently Asked Questions
Aug 16, 2022 · Additionally, complex CCM (CPT codes 99487, 99489) includes moderate to high complexity medical decision-making by the billing practitioner during the service period, an …
University of Michigan Complex Care Management Program
“Provide continuous care management in collaboration with Patient Centered Medical Homes for patients with complex medical, mental health, and social support needs”
Tailoring Complex-Care Management, Coordination, and …
Introduction w vision and a new paradigm for the organization, financing, and delivery of health care services. Some 5% of adults (12 million people) have three or more chronic conditions and a …
Connected Care Toolkit Chronic Care Management Resources …
The Connected Care Chronic Care Management Toolkit contains educational materials and resources to raise awareness about the importance of CCM services for Medicare and dual …
WHAT IS CHRONIC CARE MANAGEMENT?
If you have Medicare or are dually eligible (Medicare and Medicaid) and live with two or more chronic conditions that worsen your quality of life and put your health at risk, chronic care …
MLN909188 Chronic Care Management Services - Centers …
CMS recognizes chronic care management (CCM) as a critical primary care service that contributes to better Medicare patient health and care. We pay for CCM services provided to patients with …
Complex Care Management Guidelines - Mi-CCSI
This document is a guide to help you prepare, refine, and train for the complex care management of individuals with multiple chronic conditions, limited functional status, and/or psychosocial needs.
Chronic Care Management and Advance Care Planning
What are Chronic Care Management Services? Chronic Care Management 99490 is defined as the following: im directed by a physician or other qualified health care professional, per calendar …
Complex Care Management - State of Michigan
Define evidence based components of complex care management. Explore coordination of care across the community, showing the relationship of the primary care office, Maternal Infant Health …
Chronic Care Management (CCM) Services FAQs
Q. What is the diference between chronic care management (99490) and complex chronic care management services (99487, 99489)? t are th rting requirements is able to bill for CCM. …
Complex Care Management Toolkit
The following document is a guide to improving and implementing a complex care management program for individuals with multiple chronic conditions, limited functional status, and …
CHRONIC CARE MANAGEMENT TOOLKIT
This toolkit includes information for health care professionals, professional and patient organizations, and community groups, including tips for getting started, fact sheets on the …
Chronic Care Management in Practice: - CAPC
Chronic Care Management (CCM) and Complex Chronic Care Management (CCCM) are critical components of primary care that contribute to better outcomes and higher satisfaction for patients
Care management of patients with complex health care needs
The six components of the Chronic Care Model are pertinent to care management of complex patients: health system organization, community resources, information systems, decision sup …
Chronic Care Managment FAQ - State of Michigan
Complex Chronic Care Management (CCCM) and Chronic Care Management (CCM) refers to specific CMS services. Unlike “Care Management,” CCCM and CCM are paid for separately …
WHAT IS CHRONIC CARE MANAGEMENT (CCM)?
CCM engages patients in their own care and educates them on their chronic conditions. Separate from traditional primary care, it provides access to care outside of and in between doctors’ visits. …
CMS Chronic & Principal Care Management Services: …
Implementing the Centers for Medicare & Medicaid Services’ (CMS) chronic and principal care management (CCM/PCM) services provides an opportunity to put a framework around care …
Complex Puzzle: How Payers Are Managing Complex and …
Payers have designed disease management (DM) programs for members with common chronic diseases, and complex case management (CCM) programs for patients who experience a critical …
Complex and Chronic Patient Management - Optum
Our Complex and Chronic Patient Management program helps you create an efficient and effective care team and works as an extension of your practice to build on your in-office care, targeting …
Chronic Care Management
This resource is intended for home-based primary care (HBPC) providers and practice staff and provides an overview of the required elements for the Chronic Care Management (CCM) Care Plan.
Chronic Care Management Frequently Asked Questions
Aug 16, 2022 · Additionally, complex CCM (CPT codes 99487, 99489) includes moderate to high complexity medical decision-making by the billing practitioner during the service period, an …
University of Michigan Complex Care Management Program
“Provide continuous care management in collaboration with Patient Centered Medical Homes for patients with complex medical, mental health, and social support needs”
Tailoring Complex-Care Management, Coordination, and …
Introduction w vision and a new paradigm for the organization, financing, and delivery of health care services. Some 5% of adults (12 million people) have three or more chronic conditions and a …
Connected Care Toolkit Chronic Care Management …
The Connected Care Chronic Care Management Toolkit contains educational materials and resources to raise awareness about the importance of CCM services for Medicare and dual …
WHAT IS CHRONIC CARE MANAGEMENT?
If you have Medicare or are dually eligible (Medicare and Medicaid) and live with two or more chronic conditions that worsen your quality of life and put your health at risk, chronic care …
