Hypertension and diabetes remain two of the most prevalent—and costly—chronic conditions in the U.S. Nearly half of American adults have hypertension, and over 11% have diabetes. Managing these conditions requires more than occasional appointments—it demands long-term care planning, consistent follow-up, and proactive outreach.
Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) are at the forefront of this movement, often outperforming their peers in managing chronic conditions, particularly in underserved communities. Recent changes from the Centers for Medicare & Medicaid Services (CMS) are accelerating this momentum, reinforcing virtual care models and providing new opportunities for reimbursement and innovation.
Here’s how top-performing FQHCs are succeeding—and how the finalized 2024 CMS Physician Fee Schedule (PFS) is setting the stage for even greater impact.
1. Proactive, Tech-Enabled Chronic Care
FQHCs understand that virtual care isn’t a future state—it’s now.
With the 2024 CMS update, Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) are now reimbursable under code G0511, allowing these services to be integrated with Chronic Care Management (CCM). This consolidation simplifies billing and supports comprehensive virtual care programs. Understanding and applying the latest G0511 billing guidelines is essential for FQHCs and RHCs looking to maximize reimbursement while delivering integrated virtual care services.
TimeDoc Health empowers FQHCs and RHCs with a purpose-built platform that supports:
- Real-time vitals tracking and patient monitoring
- Seamless CCM, RPM, and RTM workflows
- Automated documentation and time tracking
- Scalable, reimbursable care delivery under G0511
Whether you’re starting a program or scaling one, our platform makes it easy to stay compliant and efficient while delivering better care.
2. Community-Centered, Culturally Competent Engagement
FQHCs are deeply embedded in their communities, enabling them to deliver care that reflects cultural values, language preferences, and social realities.
With CMS expanding G0511 to include Community Health Integration (CHI) and Principal Illness Navigation (PIN) services, FQHCs can now be reimbursed for addressing non-clinical factors—like housing, food insecurity, and transportation—that directly impact health outcomes.
TimeDoc Health supports this model with tools that:
- Identify rising-risk patients and social determinants
- Enable ongoing patient engagement
- Simplify care coordination and navigation services
By removing clinical and social barriers, FQHCs can improve adherence and build long-term trust with their patients.
3. Team-Based Care That Drives Results
Multidisciplinary care teams—physicians, nurses, care coordinators, behavioral health specialists—are essential to FQHCs’ success.
The CMS’s continued support for telehealth services through 2024 also ensures these teams can deliver flexible, accessible care without geographic limitations. Verbal consent is still permitted for services like CCM and RPM, reducing documentation burden and streamlining enrollment.
TimeDoc Health is built for team-based care, offering:
- Role-based workflows for smooth collaboration
- Clear visibility into the patient journey
- Integrated reporting to track outcomes and quality metrics
This allows FQHCs and RHCs to measure what matters—improved outcomes, reduced hospitalizations, and sustainable growth.
Turn Compliance Into Innovation with TimeDoc Health
The finalized 2024 CMS rule validates the long-term value of virtual care. For community-based providers like FQHCs and RHCs, this is more than a policy change—it’s an invitation to lead.
TimeDoc Health helps you turn these opportunities into action:
✔ Combine CCM, RPM, and RTM under G0511
✔ Automate care planning and billing documentation
✔ Address social determinants with CHI and PIN services
✔ Deliver care through in-person or virtual visits
✔ Improve financial performance and clinical results
Your Program. Your Patients. Your Way.
At TimeDoc Health, we don’t believe in one-size-fits-all. Our platform is customizable to your workflows and goals—whether you need end-to-end support or just want to optimize specific parts of your chronic care program.
Let’s work together to deliver better care today—and build a healthier tomorrow.