The document discusses the benefits of a team-based care model over the traditional physician-only model. In the team-based model, clinical assistants help with data gathering and documentation to share the workload with physicians. This model has been shown to improve healthcare delivery and help address workforce shortages. Effective teams require all members, including specialty medical billers and coders, working together with physicians, PAs, NPs and other providers. As information grows, no single practitioner can handle it all, making specialized team-based care a necessity.
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Team based care model for better productivity
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Team based care model for better productivity
In an old-fashioned practice model, the physician is solely responsible for most, if not all of the work undertaking of
his facility, which also involves charge entry, to medical billing and coding till the time of claims reimbursements.
Sharing the workload
With the team care model, however, the physician and clinical assistant share these responsibilities. The clinical
assistant handles much of the data gathering, including documenting the patient's complaints and gaining additional
detail through questioning. The physician can develop protocols and templates based on specific patient complaints
and chronic conditions that direct the clinical assistant's questioning.
Team-based care has been promoted as one essential component necessary for meeting the supply and demand
imbalance in the workforce and as well serving as a crucial element of improving health care delivery. For instance in
oncology, team-based care takes many forms: inpatient care management teams or multidisciplinary disease-oriented
care programs, for example. Teams may be large or small and may be located in a variety of practice settings, from the
private oncology office to the academic medical center.
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Team based care model for better productivity
It is, therefore, difficult to define team-based care, but the structure of such a definition can be found in the
conceptual description of health care delivery by the Institute of Medicine: “All health professionals should be
educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based
practice, quality improvement approaches, and informatics.”
Patient-Centered Medical Home
One practice model that has been promoted as able to improve patient care delivery is the patient-centered medical
home (PCMH). In this model, a physician-directed network of care is provided for the individual patient; that care may
be provided by other physicians, non-physician providers, or allied ancillary health services.
Although the model was initially promoted for effective management of chronic disease, it has been demonstrated to
be an effective model for the delivery of oncology care.8 Team-based care is an essential element of the PCMH model,
but building successful teams may be difficult in the face of provider shortages. One focus on meeting provider
workforce shortages in oncology has been on the role of physician assistants (PAs) and nurse practitioners (NPs). Along
with that, the support of specialty medical billers and coders in the team is also vital.
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Today, as both clinicians and patients integrate new technologies into their management process, the overall rapidity
of change in healthcare systems will continue to accelerate.
The U.S. National Guideline Clearinghouse has listed over 2,700 clinical practice guidelines now, and, each year, the
results of more than 25,000 new clinical trials are published. No single practitioner can handle, absorb and use all this
information, and the need for specific knowledge in specialized areas of care by different team members has become
a necessity.
Now, more than ever, there is an obligation to strive for perfection in the science and practice of inter-professional
team-based health care. Each clinician relies on information and action from other team members. Yet, without
explicit acknowledgment and purposeful cultivation of the team, systematic inefficiencies and errors cannot be
addressed and prevented.
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About Medical Billers and Coders:
Medical Billers and Coders have 19 years’ experience in outsourcing medical billing and coding services.
Medicalbillersandcoders.com is the ultimate Medical Billing organization in the US with incomparable expertise in all
areas of billing & coding. Our billing specialists provide support to practitioners based in all states & our experts
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