Hey everyone. Thank you for being here. I'm just preparing for 2026 and working on all the content I have to share. I'm really excited to learn and share while building real community and creating opportunities for nurses in care management. Let me get started with some clarification on what is Care Management. Say hi and introduce yourself, what do you want to know about Care Management 🤔

What is Value based care, testing out my avatar and learning how to share all this valuable information.

Are you ready to expand your understanding of the challenges in primary care and discover how you can make a difference? 🌟 Allow me to introduce "The Business of Primary Care" Podcast! This dynamic series is designed to equip you with insights into the struggles providers face, from managing overwhelming patient caseloads to operating with limited staffing and resources. Here’s your chance to explore how you can become an invaluable support system in the healthcare landscape. In this Episode A Focus on Care Coordination In the premiere of the three-part series, they delve into one of the most critical yet underappreciated elements of Value-Based Care—Care Coordination. 🩺 Here’s what you’ll learn: - Breaking Silos: Why individualized, holistic care matters and how teamwork across clinical and non-clinical staff can revolutionize patient outcomes. - Technology and Innovation: How tools like patient monitoring systems can enhance care delivery. - Overcoming Barriers: Understanding the social risk factors and systemic hurdles to effective care. - Collaboration in Action: The role of community partnerships and coordinated teamwork in building robust care systems. This episode brings together experts from across the care spectrum to discuss strategies and actionable solutions that place the patient experience at the heart of Value-Based Care. Why listen?🎓 As future leaders in healthcare, this podcast provides you with a unique window into the world of primary care challenges and triumphs. Learn how to bridge gaps, build systems, and support providers in creating a patient-first healthcare environment. https://www.thebusinessofprimarycare.com/podcast/care-coordination-part-1

The Medicare Physician Fee Schedule (MPFS) is a critical tool for nurses in care management who are building or scaling their businesses. This comprehensive resource outlines the reimbursement rates for services covered by Medicare, including Chronic Care Management (CCM), Transitional Care Management (TCM), and other care coordination codes. Understanding the MPFS is essential because it directly impacts your revenue strategy and financial sustainability. For nurses venturing into care management, the MPFS helps you calculate the expected reimbursements for services you provide. For example, CCM services under CPT 99490 are reimbursed monthly by Medicare. Knowing the exact rate in your region ensures accurate projections when presenting ROI to providers or forecasting your earnings. This knowledge also allows you to negotiate effectively with physicians or practices that you partner with. Moreover, staying up-to-date with the MPFS ensures compliance. Medicare reimbursement rates can change annually, and using outdated rates can lead to billing errors or lost revenue opportunities. Familiarity with this tool also helps you identify additional billing opportunities for underutilized codes, like remote patient monitoring or principal care management. In care management, understanding the MPFS isn’t just about billing—it’s about running a financially sound and compliant business while demonstrating your value to healthcare partners. https://www.cms.gov/medicare/physician-fee-schedule/search