Nuwer Marc R
Department of Neurology, David Geffen School of Medicine at UCLA and Department of Clinical Neurophysiology, Ronald Reagan UCLA Medical Center, Los Angeles, CA.
Neurol Clin Pract. 2015 Oct;5(5):430-438. doi: 10.1212/CPJ.0000000000000177.
Chronic care management provides a way for neurologists to code for time spent by clinical office staff who coordinate services for patients with major chronic illnesses. Medicare allows payment for one such code; some third party payers accept 2 additional codes. When using these codes, the physician develops a Care Plan that organizes the patient's medical and psychosocial needs. Clinical office staff communicates among the patient's physicians, therapists, community services, the patient, family, and caregiver. The patient chooses only one physician whose office provides these coordination services. Rules include 24/7 access for urgent phone contact and use of an electronic health record system.
慢性护理管理为神经科医生提供了一种对临床办公室工作人员为患有重大慢性疾病的患者协调服务所花费的时间进行编码的方法。医疗保险允许为一个这样的编码支付费用；一些第三方支付者接受另外两个编码。使用这些编码时，医生制定一份护理计划，整理患者的医疗和心理社会需求。临床办公室工作人员在患者的医生、治疗师、社区服务机构、患者、家属和护理人员之间进行沟通。患者只能选择一位其办公室提供这些协调服务的医生。规则包括提供全天候紧急电话联系以及使用电子健康记录系统。
