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Rural Health Information Hub

Rural Health
Resources by Topic: Chronic disease management

Diabetes Self-Management in Rural America as a Public Health Issue
Provides a brief overview of diabetes self-management education and support in rural areas, along with relevant CDC resources and reports.
Sponsoring organization: Centers for Disease Control and Prevention
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Medicare Learning Network: Chronic Care Management Services
Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO REACH Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO REACH Model, which is intended to encourage healthcare coordination to improve care for people with Medicare.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Chronic Disease in Rural America Topic Guide
Provides resources and information on the impact of chronic disease in rural areas, as well as prevention and treatment strategies. Highlights specific chronic diseases, including heart disease and stroke, diabetes, chronic respiratory conditions, arthritis, and HIV/AIDS.
Sponsoring organization: Rural Health Information Hub
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Care Management Medicare Reimbursement Strategies for Rural Providers
Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, Transitional Care Management, Principal Care Management, and more.
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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