Category Archives: Practice Extender

Practice Extender

Practice Extender:
Pyramid Home Health Services assists many Missourians to manage the challenges of living with multiple chronic conditions at home. Beginning in 2014, through its new Practice Extender Program, Pyramid Home Health Services will offer these Patient’s Physicians a powerful tool to better coordinate their care and live healthier.
Practice Extender Services Includes:
1- 24X7 Nurse Line: The availability of a Pyramid Home Health Services Clinician 24/7 to provide telephone based response to patient health questions and concerns and to triage alternative care options to the ER after hours. Response is stepwise and ranges from the least invasive, advice, follow-up telephone monitoring and scheduling of a physician office visit to referral and arranging of transportation, if required, to the nearest open emergent care clinic to dispatch of an RN or NP to the patient’s home to evaluate symptoms and take appropriate action. All documentation of interactions will be provided to the patient’s Physician within 24- hours or sooner where appropriate.

2- Tele-Health: Pyramid Home Health Services Tele-health platform allows Physicians to “cast” HIPPA compliant and billable Patient office visits from the Physician’s practice location into their Patient’s homes when Patients are unable or unwilling to travel to the practice location. Pyramid Home Health Services will assist the practice to preschedule these visits and deploy the appropriate staff and equipment to the patient’s home to ensure a thorough examination, including review of vitals and, where necessary, collection of lab specimens.

3- Intermittent NP staffing: Staffing can be for “In-Office” needs, including managing Tele-Health Services, or for conducting home visits. This service includes provision of all requisite contracting between the NP and the Physician, scheduling, and electronic documentation of patient services.

4- Medication Management: Includes Tele-Health based MTM with a certified Pharmacist, in-home nurse review of and teaching on medications and medication compliance, electronic medication reminder calls with tracking and follow-up, free home delivery of multi-dose packaged medications, specialty drug compounding and administration.
Pyramid Home Health Services provides Physicians a range of partnering options. Where services are individually billable to a patient’s insurance, the Practice or Pyramid Home Health Services may bill for the same with Pyramid Home Health Services receiving payment on a fee for service basis directly from the insurance company or under contract to the physician. Where practices are managing the care of Patients under capitated agreements or are participating in “Gain Share” or other “Shared Savings” programs, Pyramid Home Health Services will contract on a per member, per month basis (PMPM) with the practice or the intermediary.
Practice Extender from Pyramid Home Health Services will permit Primary Care Physicians to qualify for the Chronic Disease Management Fees established in the final 2014 Physician Fee Schedule.
If you are a Missouri Physician and would like to add Practice Extender as a benefit for your patents, please contact Pyramid Home Health Services on line at or call us at 888-880-6565.