Chronic Care Management

What is Chronic Care Management?

Chronic Care Management is an initiative started by the Center for Medicare and Medicaid Services (CMS) to encourage medical practices to identify patients with two or more chronic conditions, determine changes in their health, and to help manage these changes. The program is a preventative measure to avoid unnecessary emergency room or hospital visits. It is also meant to minimize readmission to hospitals after patient release.

What are chronic conditions?

The Centers for Disease Control and Prevention defines a chronic condition as any condition that has been ongoing for more than one year and requires prolonged medical care. Chronic conditions are also defined as those that limit the patient’s ability to perform basic activities of daily living (ADLs). Activities of daily living include eating (feeding themselves), bathing, dressing, toileting (the ability to independently use the toilet and perform personal hygiene), transferring (the ability to independently get in and out of a bed or chair), and the ability to maintain continence (bladder and bowel control).

The Center for Medicare and Medicaid Services has identified the list below as chronic conditions. Along with these medical conditions, Urologic chronic conditions include Benign Prostatic Hyperplasia (BPH), Overactive Bladder (OAB), Bladder Cancer, Renal Cancer, Prostate Cancer, Ureter Cancer and Renal Pelvis Cancer.

CMS list of chronic conditions include but are not limited to:

  • Alzheimer’s disease/Dementia
  • Arthritis
  • Asthma
  • Atrial fibrillation
  • Autism Spectrum Disorders
  • Cancer
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease (COPD)
  • Depression
  • Diabetes
  • Heart failure
  • Hepatitis (Viral B & C)
  • Hyperlipidemia (high cholesterol)
  • Hypertension (high blood pressure)
  • Ischemic heart disease (coronary artery disease) – reduced blood flow due to plaque build-up in the arteries
  • Osteoporosis
  • Schizophrenia and other psychotic disorders
  • Stroke
Chronic Care Management at Urology Clinics of North Texas

Chronic Care Management at Urology Clinics of North Texas

Because Urology Clinics of North Texas understands the interaction of disease states, and the importance of providing top quality patient healthcare, we have established a new Chronic Care Management program for patients who have two or more chronic conditions and are covered by Medicare. Medicare patients who choose to participate, will receive a monthly phone call from a Care Team Coordinator to review and help manage their chronic conditions.

Care Team Coordinators work with our patients each month to:

  • Assess their current conditions, symptoms, and medical care progress
  • Answer patient questions about their medical conditions and treatments
  • Review their current medications
  • To ensure that patients are receiving medical attention in a timely manner
  • To assist patients with transitioning their care to the necessary medical providers
  • Assist patients with physician referrals and authorizations
  • Ensure that their billing questions are answered
Care Team Coordinators, clinical care team - Urology Clinics of North Texas

If you are a Urology Clinics of North Texas patient with chronic medical conditions who is covered by Medicare, call (214) 281-8771 to learn more or to sign up for the Chronic Care Management program.

Urology Clinics of North Texas

UCNT will be closed for the Thanksgiving Holiday on
Thursday 11/23 & Friday 11/24

We at Urology Clinics of North Texas would like to wish you a very Happy Thanksgiving Holiday! We will return to normal Business hours on Monday, November 27, 2023.