Virtual Care Services
How the process works for patients and providers
The Essentials of Virtual Care
Making Chronic Care Management and/or Remote Patient Monitoring a reality for your practice is simple and straightforward. That’s not a coincidence: Medicare created these programs expressly to make quality care more accessible to all patients, and to lighten the workload of often-overburdened providers. Just as importantly, many private insurers qualify for Virtual Care Services reimbursement as well.
This approach means fewer in-person visits to your facility for the basics, such as checking vitals and mental disposition, as well as fewer last-minute cancellations, and, ultimately, improved patient outcomes.
But a reliable third party is critical for the system to reach its potential, and HealthXL® has excelled in facilitating virtual care from the beginning with proven processes. Simply starting up a program isn’t nearly enough: patients need to know about it, and how it can benefit them. Practices rarely have the time or resources to spend trying to enroll patients (who are often resistant to new things in the first place), and if they can’t count on a virtual care servicer to aid in that critical process, their program is likely to go off the rails.
Our approach to partnering is very different.
First, we search your Electronic Medical Records system (EMR) to find only those patients likely to be a good fit for virtual care, verify their eligibility, and begin the enrollment process by reaching out to them. Our Enrollment Specialists handle all of this – not your staff.
Those patients who elect to enroll are then assigned a Care Coordinator, who sticks with them throughout their involvement in virtual care, including guiding them through the setup of devices we mail to them directly. These care professionals stay in regular contact, building relationships with your patients and ensuring that they do what is required of them based on the program (checking their vitals, etc.).
We keep you in the loop, too, simplifying the billing process (a common concern of providers), auditing our own internal processes and listening to your feedback. We also conduct regular quarterly meetings to evaluate your program’s progress, compliance and profitability.
In short, you provide us access to your EMR, run your practice as usual, and bill the appropriate payer (Medicare or a private insurer) monthly. We do the rest – every bit of it. You gain an additional revenue stream and more efficient office workflows, while your enrolled patients enjoy fewer in-person appointments, better engagement with the practice, and a much higher likelihood of adhering to your treatment plans. It’s really that simple.
Your practice’s needs – just like your patients’ – are always changing, and HealthXL® is with you every step of the way. Truly A Better Way To Care.
Medicare created CPT codes to categorize the types of services that providers can offer to patients for a variety of virtual care programs. HealthXL® offers servicing for both Chronic Care Management (CCM) and Remote Patient Monitoring (RPM).
The CPT codes simplify the monthly billing process that triggers reimbursement for providers, specifying the service(s) provided for each patient in that time period. The codes apply to private insurers as well, not just CMS itself.
Virtual care programs have been a gamechanger for patients and providers alike. And they offer clinicians more than just an additional revenue stream: they free up office man-hours and lower administrative costs, and allow more on-site appointments to be dedicated to more complex procedures.
For patients, they alleviate transportation issues in between office visits and improve temperament and engagement in ongoing treatments, which typically lowers hospital readmission rates.
Want to know more about Virtual Care Services and what sets HealthXL® apart in this burgeoning industry? Drop us a line here and we’ll be happy to set up a consultation.
Implementation Meeting
- Practice grants remote EMR access to HealthXL®
- Practice walked through CCM, RPM and Enrollment processes
- Align HealthXL® care team protocols with practice preferences
- Review billing process responsibilities
Begin Service
- Advanced Enrollment Program team begins calling to educate and enroll patients
- Newly-enrolled patients are matched with their personal Care Coordinator
- HealthXL® conducts series of service checkpoints
Ongoing Quarterly Meetings
- Program updates with Account Manager
- Review trends in enrolled patients
- Review program profitability
- Share examples of improved outcomes
Implementation Meeting
- Practice grants remote EMR access to HealthXL®
- Practice walked through CCM, RPM and Enrollment processes
- Align HealthXL® care team protocols with practice preferences
- Review billing process responsibilities
Begin Service
- Advanced Enrollment Program team begins calling to educate and enroll patients
- Newly-enrolled patients are matched with their personal Care Coordinator
- HealthXL® conducts series of service checkpoints
Ongoing Quarterly Meetings
- Program updates with Account Manager
- Review number of enrolled patients
- Review program profitability
- Share examples of improved outcomes