What is Chronic Care Management?
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
- Atrial fibrillation
- Autism Spectrum Disorders
- Chronic kidney disease
- Chronic obstructive pulmonary disease (COPD)
- 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
- Schizophrenia and other psychotic disorders
Chronic Care Management at Urology Clinics of North Texas
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