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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