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Patient Care

Helping Your Provider Deliver the Best Quality of Care

At Zia Health Management, caring for people is our passion. Our team of care specialists, which consists of Medical Doctors (MDs), Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), and Medical Assistants (MAs) work as partners with your health provider(s) to help them deliver the best quality of care possible.

Our goal is to support our partner health providers with helping you remain as healthy and active as possible so that you can enjoy all that your life has to offer. The programs we offer are designed to keep you connected with your provider between office visits so that they have the relevant and timely information they need in order to help you manage any conditions that may be impacting your health.

Essentially our team acts as an extension of your providers office, checking in with you regularly, monitoring status of health conditions or vital signs, and consulting with your provider on your behalf to best coordinate any ongoing care and treatment that you may be in need of.

Some frequently asked questions we get from patients looking to decide if one of our programs is right for them include:

What is considered a chronic health condition?
Why does Medicare encourage participation in preventive care programs for those with chronic conditions?
Why should I participate in a preventive care program when I’m still relatively healthy?
What are the Preventive Care Programs supported by Zia Health Management and how do they work?
How much will this cost and does my insurance cover it?
What access does Zia Health Management staff have to my personal health information?

For more information about these services call us at 888-758-8512

Medical Administration

Dr. Misbah Zmily, MD – Co Founder
Dr. Maher Alami, MD – Medical Director

Patient Care Administration

Nancy Flinn, RN

Nataliya Dmitrieva, LPN

For More Information

Contact Us

Frequently Asked Questions

What is considered a chronic health condition?

Chronic health conditions are health conditions that are expected to last more than 12 months or will require ongoing treatment or monitoring. In medical terms these are conditions or illnesses that are expected to last at least 12 months or until death, and that place patients at significant risk of death, acute exacerbation/decompensation, or functional decline.

Some of the most common are:
• Alzheimer’s disease and related dementia
• Arthritis (osteoarthritis and rheumatoid)
• Asthma
• Atrial Fibrillation
• Autism Spectrum Disorders
• Cancer
• Cardiovascular Disease
• Chronic Obstruction Pulmonary Disease
• Depression
• Diabetes
• Hypertension
• Infectious diseases such as AIDS/HIV

A complete list of chronic conditions from CMS can be found at the following location:
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CC_Main

According to the Centers for Disease Control and Prevention (CDC), approximately 85% of older adults have at least one chronic health condition, and 60% have at least two chronic conditions. Centers for Medicare & Medicaid Services (CMS) has published that two-thirds (at least 66%) of Medicare Beneficiaries have multiple chronic-conditions.

CMS is committed to providing its beneficiaries with access to high quality, coordinated care in order to maintain health and functioning, while at the same time controlling health care costs. As part of this commitment, Medicare began introducing preventive care programs in 2015 that are intended to empower providers to offer programs designed to help their patients remain healthy and active while better managing costs for both CMS and patients.

Dr. Misbah Zmily, founder of Zmily Health Group and co-founder of Zia Health Management, immediately began implementing these programs with his own patients, as he believed wholeheartedly in Benjamin Franklin’s old saying that, “An ounce of prevention is worth a Pound of Cure.”

Dr. Zmily knew from experience that proactively treating chronic conditions to help keep them in control is far more beneficial to a patient’s health and well-being than reactively trying to help a patient recover after a chronic condition has progressed and/or a patient has experienced serious functional decline.

At Zia Health Management, we take a progressive approach in the development of programs to support the interaction between patients and their providers. Our programs focus on health of the patients outside the clinic situation, and provide caregivers with insight as to the well being of the patients under their care.

Our services are intended for people that have been diagnosed with one or more chronic conditions that qualify them for participation. We support our partner providers with helping their patients manage these health conditions effectively so that they don’t hinder or impede their quality of life.

References:
https://www.nia.nih.gov/health/supporting-older-patients-chronic-conditions
https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/chronic-conditions/downloads/2012chartbook.pdf

Why does Medicare encourage participation in preventive care programs?

According to the Centers for Disease Control and Prevention (CDC), approximately 85% of older adults have at least one chronic health condition, and 60% have at least two chronic conditions. Centers for Medicare & Medicaid Services (CMS) has published that two-thirds (at least 66%) of Medicare Beneficiaries have multiple chronic-conditions.

CMS is committed to providing its beneficiaries with access to high quality, coordinated care in order to maintain health and functioning, while at the same time controlling health care costs. As part of this commitment, Medicare began introducing preventive care programs in 2015 that are intended to empower providers to offer programs designed to help their patients remain healthy and active while better managing costs for both CMS and patients.

Why should I participate in a preventive care program when I’m still relatively healthy?

Sadly in our country many people utilize healthcare professionals only on a reactive basis when they get sick. Zia Health Management is working to change this paradigm through our preventive care programs.

Participation in preventive care programs while we are still “relatively healthy” is ideal. Think of preventive care programs like oil changes for an automobile. For automobiles with internal combustion engines, regular oil changes are necessary to keep the engine running smoothly and in good repair so that it doesn’t seize up and stop working.

The same is true for preventive care programs. As we participate in preventive care programs, especially while we’re “relatively healthy,” we ensure that we are getting the care and support we need in order to maintain our best health possible so that we can continue to enjoy all that our lives have to offer. 

Why does Medicare encourage participation in preventive care programs?

Chronic Care Management
• Chronic Care Management is a Medicare based preventive care program for patients with two or more health conditions that Medicare expects to last more than 12 months, or will require ongoing treatment or monitoring. The goal of the program is to better coordinate care between you and your healthcare provider. Patients who participate in this program tend to have fewer hospitalization rates, which is beneficial for both patients and CMS.
• When you enroll into our program you will be assigned a Zia Care Specialist that will call you once a month to check in with you on how your conditions are going. Your same care specialist will call you every month, and will be familiar with any medications you take as well as your medical history.

Your care specialist:
• Reports back to your provider to keep them informed of your progress in between office visits.
• Alert your provider any time there are changes in your conditions that merit a follow-up appointment prior to your regularly scheduled visits.
• Assist your provider with ordering medication refills.
• Coordinate follow up appointments or labs, and basically coordinate care between you and your provider between office visits.

Once enrolled you also gain access to our 24 hour nurse helpline so that you can access a nurse immediately anytime you have a health related question or need. This can be very helpful during overnight or weekend and holiday periods when clinics are typically closed.

Advanced Remote Patient Monitoring
Remote Patient Monitoring is a Medicare based preventive care program for patients with a chronic health condition where the patient can benefit from daily or weekly monitoring of key vital signs, such as blood pressure, pulse, oxygen levels, or blood glucose levels.
The goal of the program is to help you keep your healthcare provider informed of your vital signs regularly so they can monitor and adjust treatment as needed.
• When you enroll in this program you will be sent a home monitoring system that will allow you to take your vital signs at home. The system automatically transmits the results directly to our team of care specialists.
• Results are monitored by our staff of trained nurses who will contact you when results are outside of your expected ranges. This helps us ensure you have the care and support you need, when you need it.
• With this program you also have access to a nurse at the push of a button 24 hours every day in case you ever have any medical needs, concerns, or questions. We are here for you when you need us.
• Many of our patients have avoided expensive hospital stays due to our nurses and their providers being able to identify when readings are off, and proactively providing care and direction that keeps their conditions from deteriorating or escalating into a status where they require hospitalization.

Annual Wellness Visits
• Annual Wellness Visits (AWV) are completely covered by Medicare and play a key role in maintaining our health and well-being. By meeting with our primary care providers at least once every 12 months we allow them to stay attuned to changes in our health, and allow them to help us ensure we are continuing to care for our health as well as possible.

Behavioral Wellness and Care Program
• Referred to by Medicare as Behavioral Health Integration (BHI), this program is designed for patients who would like or are in need of additional support with improving their health through cessation of smoking or alcohol use, weight management, or managing depression or anxiety.

Transitional Care
• Transitional Care Management is the 30-day period following a physician discharge from an inpatient stay. During this time our team follows up with patients to check on conditions following the discharge, review medications and medication management, and to assist with booking follow-up appointments with the care-giver that will be assuming patient care following the discharge.

How much will this cost and does my insurance cover it?

As a general rule Medicare typically covers the first 80% of cost for most of our programs, and secondary insurance will often pick up the remaining 20% once deductibles are met for the year. For exact pricing and to see what out of pocket expenses you would potentially incur with any of our programs, we recommend you contact your insurer and let them know you're considering enrolling into one of our programs.

If you give us a call we can provide you with the billing, or CPT Codes and Services Descriptions. We’re happy to help.

What access does Zia Health Management staff have to my personal health information?

We are a HIPAA complaint agency that is contracted with your doctor’s office to offer this program. Our care specialists function as an extension of your providers medical team, and will only have secured access to the level of information granted them and that is necessary to fulfill their responsibilities and/or obligations on your behalf.

Our Corporate Offices

166 Hospital Dr. Raton
Raton, NM 87740

Phone: 888-758-8512 
Fax: 505.445.0281