Overview
OverviewSCALE introduced its client to Remote Patient Monitoring and Chronic Care Management and helped the practice implement a Care Coordination program that resulted in improved patient care and additional needed services that delivered substantial profit.
The new service simultaneously created several different benefits to the practice: stronger patient engagement, improved patient wellness and care, less office red-tape, and significant additional cashflow.
What is Care Coordination?
Care Coordination activities significantly enhance the value of Medicare’s preventive framework, as they are focused on the provision of personalized health advice and referral to health education or ongoing preventive counseling programs aimed at reducing risk and improving self-management
Execution
ExecutionSCALE guided the practice from initiation to a billable event in less than five weeks.
WEEK 1:
Outreach Messaging
Coordinate activities with practice’s program champion
Identify patient outreach strategy and scripting (targeting and messaging)
Configure, test and train clinical staff on telemedicine adjustments
Train practitioners and support staff on CareGPS; customize as needed
WEEK 2:
Training
Train administrative staff and dedicate outreach activity; schedule patients
Targeted training sessions with mock patients on CareGPS
Training on report reading
WEEK 3:
Service Delivery
Initial service delivery to targeted patients, jointly delivered with CareGPS
Patient education on care coordination and enrollment during initiating visit
Review of service delivery successes with improvements made as needed
WEEK 4:
Feedback and Billing
Full schedule loading of a single location or division with patient surveys
Billing integration and EOB review supporting reimbursement validation
WEEK 5:
Ongoing Billing Report
All patient enrolled devices and Televisits Billed out on 1st of the month
Billing department receives weekly report of visits and monthly report including devices sent to enrolled patients on an ongoing basis
Results
Increased Profitability
Close the loop with proper charting and coding for reimbursement
Address cash flow issues by diversifying existing clinical services
Identify long-term revenue and delivery opportunity through enrollment in holistic solution
Create billable events through care coordination and follow up visits
Quality of Care
Be proactive with higher risk patients, including remote telemetry
Provide multiple modalities for telemedicine services delivery
Immediately deliver overdue services to at-home patients (point-solution)
Educate patients on new clinical services and modalities of delivery
Risk stratify patients and engage each cohort in a meaningful way
Build and proactively deliver a preventive medicine program with monthly care coordination and remote monitoring capability
Practice Performance Improvement
Strategically adjust service offerings to find a creative solutions to combat down volumes due to COVID-19
Provide multiple modalities for telemedicine services delivery
Build and proactively deliver a preventive medicine program with monthly care coordination and remote monitoring capability
About SCALE
We are a team of healthcare professionals who pair unrivaled business management expertise with comprehensive clinical specialty knowledge. We transform challenge into opportunity and help your business thrive.
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