High Touch Personalized Care
ValueCare Suite gives you tools to bill for non-face-to-face care.
Our versatile software makes it simple to track and bill Medicare for services you may already be providing.
MediCCM is now ValueCare Suite!
Automated Reports
ValueCare Suite's intuitive interface allows you to generate valuable reports
- Billing Reports
- Patient Outcomes
- Patient Engagement
- Patient Compliance
- Document Patient Education
We've helped clients realize million dollar potential with our software.
Increase Office Revenue - without increasing Provider visits or time.
2022 CMS changes will help you engage, guide and monitor your patients remotely, while getting reimbursed for care.
Medicare billing codes are complicated. Our software tracks your teams daily workflow and time spent managing patients for non-face-to-face visits.
Throughout the month of care, our software alerts you and guides to to make sure the Medicare Reimbursement Criteria is met.
At the end of the billing month, you can print a billing report of patients who meet reimbursement criteria and care given.
We're here to help.
Get started and begin enrolling patients by the end of the day!
Value Based Care
is the future of preventive medicine and has been shown to improve outcomes including:
- Decreased Hospitalizations
- Decreased hospital days
- Decreased ER visits
- Decreased re-admissions
ValueCare Suite has developed software resources
to easily and simply use Medicare’s non-face-to-face Codes –
bridging the gap in intermittent office visits to full care management
with High Touch personalized Care:
- Patient education
- Remote patient monitoring
- Behavioral Health integration
- Self Care management
- Coordination of care
- Auto-audit for billing accuracy
Better care should equal better reimbursements.
CCM
Chronic Care Management
Chronic care management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient.
The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs.
Additional Resources
RPM
Remote Patient Monitoring
Remote Patient Monitoring, also known as remote physiologic monitoring (RPM), is the use of technologies to gather biometrics like blood pressure, weight, oxygen saturation, pulse, and blood sugar levels. That information is electronically transferred to your care team.
As needed, you will be able to recommend early interventions instead of always reacting to crashes. RPM allows for objective data to supplement your understanding, and allow for the patient’s best care.
BHI
Behavioral Health Integration
Behavior Health Integration (BHI) is a type of care management service aimed at improving outcomes for patients with mental or behavioral health conditions.
CMS updated the Medicare Physician Fee Schedule (MPFS) policies to improve payment for care management services. New codes exist to differentiate between face to face visits and non face to face visits and the type of frequency of the visits.
Additional Resources
PCM
Primary Care Management
Primary Care Management (PCM) is a stop gap used for patients that don’t have multiple chronic conditions, but do have a single chronic condition that could be greatly benefited by focused attention.
The diagnosis of a single chronic condition that is expected to last between 3 months to a year, or even until the death of the patient, potentially caused a recent hospitalization, or increases the risk of acute exacerbation/decompensation, functional decline, or death.
The codes in PCM differentiate between physician or qualified health professional time and other clinic staff time.
Additional Resources
RTM
Remote Therapeutic Monitoring
Remote Therapeutic Monitoring (RTM) is similar to RPM but differs in several distinct ways. RTM is used to monitor non-physiologic data.
Although not exclusive, it includes health conditions such as musculoskeletal system status, respiratory system status, therapy adherence, and therapy response.
It is broad in its definition. Data can be self reported or transmitted digitally.
Additional Resources
TCM
Transitional Care Management
Transitional Care Management (TCM) is a medicare program designed to help patients successfully transition back to a community setting after a stay in certain facility types. The care provided is interactive and informative giving the patient the greatest chance at a successful transition home.
There is a 30 day window for this care that begins the day of discharge and continues for the 29 days following. The care team must reach out within two business days to begin the care.
Additional Resources
Download the Transitional Care Management Services Fact Sheet (PDF) fromCMS.gov
PSM
Patient Self Management
Even if you don’t get reimbursed for patient self care support, our software offers the guidance your patients need.
Self-management support is the help given to people with chronic conditions that enables them to manage their health on a day-to-day basis. Self-management support can help and inspire people to learn more about their conditions and to take an active role in their health care. *
* AHRQ’s Prevention and Chronic Care Program has developed a library of resources and videos that aims to help clinicians learn more about this concept. Please visit the Self-Management Support Library to access these resources.
Flexible care coordination platform designed to meet your objectives.
Expandable with your patient population or during seasons of life.
- High-Risk Patient Management
- Acute Care Clinic
- COVID-19/Flu Monitoring
- CHF Clinic and more
Custom Care Plans
Enter your patient’s conditions in ValueCare Suite and a care plan is generated. You can then use your experience and expertise to customize individual plans as needed.
Preventative care management has been proven to have
Statistically Significant Clinical Results
* “The program is working. The Center for Medicare & Medicaid Innovation (CMMI) recently released a report showing the program’s association with lower growth in Medicare costs, reduced hospital admissions and increased connections with community-based resources for patients. The CCM program reduced costs by $74 per beneficiary per month (PBPM) over the 18-month period studied.2
In addition, patients in the CCM program had lower hospital, ED and nursing home costs. CCM was also linked with a reduced likelihood of hospital admission for people with diabetes, chronic obstructive pulmonary disease (COPD), congestive heart failure, urinary tract infection, dehydration and pneumonia.3″
Medicare spending per patient/month decreased **
Cost saving per month over 10,000 patients **
* “[M]any physicians are leaving money on the table. A recent survey commissioned by Quest Diagnostics found that only 51% of primary care physicians knew about CCM, and only one in four had implemented the program into their practices.5″
Improve Patient Engagement
With proven end-to-end touch point care.
Keeping patients on track with vital monitoring is challenging
We know the challenges and have your solution
Simplistic data transmission means you get the info you expect
We’ve partnered with BlackBox RPM to create an end-to-end experience that improves patient engagement and helps you catch problems before they escalate.
Know where to go
Implementation made simple
We handle the workflow so you can focus on your patient’s needs.
Simply enroll patients, enter diagnoses, followup with care plan check ins, and bill Medicare.
Book a demo to learn more!
