00:00:00.270 --> 00:00:05.270 Care that continues between visits, here's how it works in six steps. 00:00:05.270 --> 00:00:10.270 Medicare pays for care between visits when it's delivered and documented properly. 00:00:10.270 --> 00:00:17.270 Chronic care management for two or more chronic conditions, principal care management for one complex condition, 00:00:17.270 --> 00:00:23.270 remote monitoring using a connected device, and transitional care in the 30 days after a discharge. 00:00:23.270 --> 00:00:27.270 What holds practices back is staffing, time, and paperwork. 00:00:27.270 --> 00:00:29.270 That's the part we take on. 00:00:29.270 --> 00:00:31.270 Step one, find the right patients. 00:00:31.270 --> 00:00:38.270 We review your patient list with you and flag who may benefit, but a diagnosis alone doesn't qualify anyone. 00:00:38.270 --> 00:00:42.270 Your clinician decides who's appropriate and which programs fit each patient. 00:00:42.270 --> 00:00:45.270 Step two, enrollment and consent. 00:00:45.270 --> 00:00:47.270 Each patient hears what's involved. 00:00:47.270 --> 00:00:53.270 That cost-sharing may apply, that only one practitioner can bill for it each month and that they can stop at any time. 00:00:53.270 --> 00:00:56.270 Consent is documented before care begins. 00:00:56.270 --> 00:00:58.270 Step three, the care plan. 00:00:58.270 --> 00:01:04.270 Your clinician sets the problems, goals, medications, warning signs, and when to escalate. 00:01:04.270 --> 00:01:06.270 Step four, care every month. 00:01:06.270 --> 00:01:14.270 Our California licensed nurses check in, review readings, reconcile medications, and coordinate follow-ups under your supervision. 00:01:14.270 --> 00:01:18.270 One plan, one team, and only the calls the patient needs. 00:01:18.270 --> 00:01:21.270 Step five, escalation and follow-through. 00:01:21.270 --> 00:01:27.270 Whether it's a reading out of range or a missed refill, the nurse logs it and assigns it to your clinical team. 00:01:27.270 --> 00:01:29.270 Your clinician decides the next step. 00:01:29.270 --> 00:01:33.270 The nurse confirms it with the patient and closes the loop. 00:01:33.270 --> 00:01:35.270 Step six, documentation and billing. 00:01:35.270 --> 00:01:40.270 Every contact and minute is logged, with a monthly summary of which requirements were met. 00:01:40.270 --> 00:01:43.270 Your practice bills under its own NPI. 00:01:43.270 --> 00:01:47.270 If a month doesn't meet the requirements, it isn't billed. 00:01:47.270 --> 00:01:52.270 Your practice approves patients, owns the care plan, handles escalations and bills. 00:01:52.270 --> 00:02:00.270 PrimeVital handles enrollment, outreach, devices, documentation, and reporting, with our nurses or your own staff. 00:02:00.270 --> 00:02:02.270 You lead the care, we support the operations. 00:02:02.270 --> 00:02:06.270 See which programs fit your practice at theprimevital.com.