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HCCIntelligence™ Webinar Recording: Clinical Conun ...
Webinar Q and A
Webinar Q and A
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Pdf Summary
**Summary:**<br /><br />The document is an informative Q&A for healthcare providers facing challenges in clinical conundrums, particularly in managing COPD treatment, complex patient care in home settings, medication management, caregiver assessments, and the use of local resources and technology. <br /><br />1. **COPD Treatment**: Recent literature suggests that LABA-LAMA inhalers are more effective and safer than LABA-ICS inhalers, particularly lessening pneumonia occurrences. <br /><br />2. **Managing Medications**: Key steps include reconciliation of current medications, ensuring justification for each, optimizing doses, and having patients demonstrate proper use.<br /><br />3. **Developing Care Plans for Complex Patients**: Focus on acute symptoms and patient goals initially, and involve family members to better understand care goals.<br /><br />4. **Local Resources and Technology**: Utilize mobile diagnostic services, EHRs for specialist feedback, and network with local health services to provide comprehensive home care.<br /><br />5. **Assessing Caregiver Burden**: Tools such as the Zarit Care Giver Burden Interview and the PHQ2 help evaluate caregiver stress.<br /><br />6. **Environmental Assessments**: Conduct home walk-throughs to identify and mitigate potential hazards, using tools like the "Safe at Home Checklist."<br /><br />7. **Care-Planning Tools**: Providers should document and store patient instructions systematically and use EHRs to review patient charts before visits. Billing codes like 99358 and guidance on Transitional Care Management are mentioned for proper documentation and reimbursement.<br /><br />8. **Transitional Care Management**: Requires direct contact with patients within two business days post-discharge, with provisions for billing if there are documented attempts.<br /><br />9. **Cognitive Assessment and Care Planning**: CPT code 99483 can’t be billed with E/M, TCM, or CCM codes but is valuable for cognitive impairment assessments once every 180 days per provider.<br /><br />10. **Promoting Documentation Efficiency**: Custom templates, MACROs, smart phrases, and pre-chart reviews are recommended for comprehensive and efficient documentation.<br /><br />For further details and resources, visit HCCIntelligence’s Resource page.
Keywords
COPD Treatment
LABA-LAMA inhalers
Medication Management
Complex Patient Care
Local Resources
Caregiver Assessment
Environmental Assessments
Care-Planning Tools
Transitional Care Management
Cognitive Assessment
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