Read e-book online Chronic Disease Management PDF

By Jim Nuovo

This publication specializes in optimizing administration and results instead of on regimen prognosis of persistent ailment. The reader learns confirmed equipment for treating the most typical persistent stipulations that they see in day-by-day perform. Chapters are established to assist physicians undertake evidence-based administration suggestions particular for every situation. exact emphasis is put on using motion plans and academic assets for selling sufferer self-management.

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Right now, health care organizations are trying to do the best they can with existing billing codes and regulations; however, they stand ready to adapt to any future billing and compliance changes that might occur for SMAs—hoping that any such future changes are reasonable and appropriate. It is common practice to bill for DIGMAs and Physicals SMAs (because, from start to fi nish, they are run as a series of one doctor–one patient encounters attending to the unique medical needs of each patient individually) using existing Evaluation and Management codes according to the level of care delivered and documented.

7. , capable of addressing psychosocial issues and managing a large group) is present to help address many of the psychosocial and lifestyle issues that confront chronically ill patients. 8. Patients have continuity of care and more time with their own provider and care delivery team. 9. The focus from start to fi nish is on the delivery of individualized medical care. 10. Patient and physician professional satisfaction is high. 11. Although outcomes studies are, in general, more difficult to conduct for DIGMAs than for CHCCs, the preliminary data emerging are quite exciting.

B. 3. Advantages of DIGMAs. 1. Typically designed to triple a physician’s productivity, DIGMAs impact most or all patients in the physician’s practice or chronic illness program (not just the same 15 to 20 high-utilizing patients). 2. Sessions can be offered weekly or even daily, with each DIGMA increasing productivity by as much as 8% to 10% for a full-time physician (16% to 20% for half-time physicians). 3. Prompt access to care is afforded because patients can attend sessions whenever they have a medical problem (there is no need to wait for the next scheduled monthly session or else be seen individually in between sessions).

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