SCOPE OF SERVICE REQUIREMENTS

In order to bill Medicare, providers must meet several new technology and services requirements. These services can be fulfilled by the provider or performed by a subcontractor.

  • 24/7 access to clinical staff to address urgent chronic care needs
  • Continuity of care through access to an established care team for successive routine appointments
  • Ongoing care management, including medication reconciliation and regular assessment of a patient’s medical, functional, and psychosocial needs
 
  • A  comprehensive,  patient-centered care plan that is electronically shared with all of the patient’s providers
  • Management of care transitions between and among all providers and settings
  • Coordination with home- and community-based clinical service providers
  • Patient and caregiver access, with enhanced opportunities to communicate with the care team