The ABCs of the Initial Preventative Physical Examination (IPPE)

The ABCs of the Medicare Annual Wellness Visit (AWV)

Transitional Care Management Services (TCM)

Chronic Care Management Services (CCM)

CMS Advanced Care Planning Provider Guide

Serious Illness Conversations Quick Guide

8 Common Questions About Palliative Care – Patient/Family Handout

Coding Snapshot: Advanced Care Planning

CMS Advanced Care Planning Provider Guide

State of IL Practitioner Order for Life-Sustaining Treatment (POLST) form

POLST FAQs Handout

The Conversation Project- Patient Starter Kit (Multiple Languages Available)

Whenever possible, consider post-acute care services that allow the patient to return home.

When short term SNF or rehab is needed, think ahead to generate a plan for continuation of care when discharged home.

Health system resources to support patients in their home or as an outpatient:

Home Healthcare Capabilities

Outpatient Therapy

Health System Clinics & Programs

HCC Coding Quick Reference

Learn more about HCC Coding
and Risk Adjustment

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Learn About CHC Payor Contracts, Plan Resources & Information

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Learn about existing Clinical Guidelines

Learn  more about MIPS
Reporting & Timelines

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CHC Video Library