Patient management program
VFP Pharmacy Group believes that treatment is enhanced when patients and caregivers can make informed decisions about their medication therapy.
P-Care services provide help for patients to understand, manage and comply with their drug treatment. In addition, it provides assistance to those patients experiencing difficulty taking, obtaining or following their medication schedule. If your insurance company does not cover any or all of these procedures, or if you have not obtained pre-authorization for each procedure, you will be expected to pay in full at the time of your appointment.
These fees do not cover the cost of hearing aids and electronic sound-generating devices. The CPT codes listed below are testing codes, not part of tinnitus counseling, that might require authorization.
These tests assess cochlear outer hair-cell function to assist in identifying location of auditory pathology. This extensive audiological testing assesses hearing sensitivity and provides a basis for hyperacusis measurements and management. This test measures the pressure-compliance function of the middle-ear system to assist in ruling out middle-ear pathology. This test measures the contraction of the stapedius muscle in response to sound.
It is used as part of the battery to rule out middle ear and auditory nerve dysfunction. Hearing aids and hearing aid exams are not covered by Medicare and generally not covered by insurance. Hearing aids must be paid for on receipt. If you have insurance coverage for hearing aids, our financial counselor will be happy to assist you in determining your benefits.
Earmolds and electronic sound-generator devices will not be billed to insurance and must be paid for at the time of service. Please inform the receptionist if you are involved in any legal action. We may not be able to accept you as a patient in these cases. Tinnitus is a perception of sound often described as a ringing, buzzing or humming in the ear or head.
To determine needs and align services, organizations need information about functional status, which identifies how patients go about their daily living activities. This assessment may include questions about meal preparation, physical activity, transportation, financial resources, social participation, and social support.
The multi-faceted plan should address both immediate needs and longterm care goals, and it should clearly identify who is responsible for each service. Although experienced care managers are best suited to perform this work, they are in short supply. Addressing these challenges and getting started with a care management program can be difficult and overwhelming.
Thankfully, success stories are available from peer organizations that have already tackled some of the challenges and achieved impressive results. The programs featured below focus on different patient populations, but they share major commonalities. The themes of aggregating data to identify and risk stratify potential patients, focusing on care coordination functions, developing processes to improve patient engagement, and importantly, measuring performance, are prevalent throughout the examples see Figure 1.
Data-driven care management programs that target high-risk and rising-risk patients can improve the patient experience and outcomes, improve population health, and reduce costs per capita. The five health systems highlighted here have implemented innovative programs with exciting results, which have profound implications for providers across the country.
At Partners, patients enrolled in the iCMP are reaping the benefits, including improved patient satisfaction and:. Care management will continue to be a critical component of population health strategies, and organizations will need to adopt data-driven strategies to be effective. Health Catalyst is a mission-driven data warehousing and analytics company that helps healthcare organizations of all sizes perform the clinical, financial, and operational reporting and analysis needed for population health and accountable care.
Our proven enterprise data warehouse EDW and analytics platform helps improve quality, add efficiency and lower costs in support of more than 50 million patients for organizations ranging from the largest US health system to forward-thinking physician practices. For more information, visit healthcatalyst. We take pride in providing you with relevant, useful content.
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