We propose that the elements of the Atherosclerotic Cardiovascular Disease (ASCVD) risk management service would include: ASCVD Specific Risk Management, which may include: ++ Promoting receipt of preventive services (including tobacco cessation counseling, diabetes screening, diabetes self-management training) ++ Medication management (including aspirin or statins to maintain or decrease risk of CVD) ++ Ongoing communication and care coordination via certified electronic health record (EHR) technology Synchronous, non-face-to-face communication methods must be offered ASCVD-Specific, Individualized, Electronic Care Plan ++ Must address modifiable risk factors and risk enhancers specific to CVD, as applicable, such as: blood pressure and cholesterol control smoking, alcohol, and other drug use status, history, and cessation physical activity and nutrition obesity ++ Plan must be established, implemented, and monitored and must incorporate shared decision-making between the practitioner and the patient Although there is no minimum service time requirement for ASCVD risk management services in a month, each of the proposed elements must be addressed to bill for the service, unless a particular element is not medically indicated or necessary at that time for that specific patient
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For a detailed explanation of the direct PE methodology, including examples, we refer readers to the 5-year review of work RVUs under the PFS and proposed changes to the PE methodology in the CY 2007 PFS proposed rule (71 FR 37242) and the CY 2007 PFS final rule with comment period (71 FR 69629)
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Where and how are services for treatment of advanced periodontal disease provided
