Uploaded on May 23, 2023
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PCMH- Assisting Primary Care Physicians as well as Patients
PCMH: Assisting Primary Care Physicians as well as Patients
A Patient-Centered Medical Home (PCMH) is not a particular type of hospital or building but an alternative
approach to delivering health care that provides coordinated, continuous patient-centric medical care,
managed by a team of individuals led by a physician. PCMHs employ the latest technology available to make
optimum use of time and funds in order to deliver the best possible healthcare to patients. Although the
concept is not new it has gained recognition and popularity among patients and physicians alike due to the
recent health reforms. There are numerous pilots being carried out in various parts of the country and the
results are positive and fruitful for healthcare providers and patients.
Coordinating Patient Care
Primarily, a PCMH integrates care across the healthcare spectrum including specialists, hospitals, therapists,
laboratories, druggists, and home health to avoid duplicate care and curtail errors. It aims to assist physicians
in keeping up-to-date with the patient history and also helps patients by giving them the opportunity to
receive care from one physician over long periods of time. This simply ensures that the physician knows the
patient’s history and the patient trusts the type of care that is being provided.
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PCMH: Assisting Primary Care Physicians as well as Patients
This in-depth knowledge of a patient’s history in a practical manner and on record allows physicians to make
decisions that are relevant and efficient at the same time. It also offers extended hours which goes a long way
in keeping patients out of expensive emergency rooms. Moreover, by sharing information and decision-
making with the patients, it enables and supports them to manage their own care and keep healthy.
Health Information Technology
The healthcare IT sector is another feature of PCMH that helps primary care providers to enhance the
efficiency of the workflow process, improve the quality of care, and provide outcome measurements as well
as accountability. Physicians, nurses, and primary healthcare providers are using this technology to make
informed decisions on the latest and real-time information available due to Electronic Health Records (EHR).
Time
The time factor plays a vital role in the healthcare industry and patients and physicians can suffer due to the
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PCMH: Assisting Primary Care Physicians as well as Patients
delays in various processes. PCMH aims to ensure that patients can visit a healthcare provider without
scheduling on the same day that they think they need a health check-up. Time is also saved due to the e-
prescriptions which are a feature of PCMH and let the physicians prescribe medicines online. Moreover, due
to such e-prescriptions, patients do not have to wait for their medicines since they are already ready to be
delivered when the patient visits a PCMH.
Money
In the PCMH model, cost-effectiveness results from enhanced care and improved patient health, which
reduce the need for healthcare services. Patient-Centered Medical Homes not only increase the efficiency of
primary care physicians but also help in augmenting revenue by rewarding the quality of the outcome rather
than the volume. PCMHs are also good for revenue and affordable for patients because of the incentives
provided by the government to physicians to adopt new technology such as EMR or EHR. The New England
Journal of Medicine has reported that PCMH increases revenue because of the sharing of savings among
many physicians as a coordinated effort.
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PCMH: Assisting Primary Care Physicians as well as Patients
The Future
The future of PCMHs is good for primary care physicians who can increase their revenue and provide better
care for patients. This can be especially effective in caring for ailments such as diabetes, and chronic illnesses,
and enhance preventive care. However, it can be more beneficial for primary care physicians rather than
specialists and thus provides a solution to the most problematic area in medicine in the United States. PCMHs
can act as an efficient entry point for patients in the health industry and provide long-term primary care for
patients.
Outsourcing Primary Care Billing to MBC
For more information on how PCMHs are likely to impact Primary physicians and their billing processes
effectively and cost-effectively cope with it, or to know more about our consultancy services on how
physicians can handle these and similar issues in their practice, MedicalBillersandCoders (MBC) is a leading
revenue cycle company providing complete medical billing services.
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PCMH: Assisting Primary Care Physicians as well as Patients
We can assist you in receiving accurate insurance reimbursement while following billing guidelines and payer
reimbursement policies. To know more about our primary care medical billing and coding services, contact us
at [email protected] / 888-357-3226
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