Chronic Care Management for Neurological Conditions

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Ongoing Support for Patients with Chronic Neurological Conditions

Many neurological conditions require ongoing support beyond a single office visit. Patients and families may need help with medication coordination, symptom monitoring, testing follow-through, caregiver concerns, safety planning, and communication between healthcare providers.

VerityMD Neurology offers chronic care management support for eligible patients with chronic neurological conditions.

Conditions We Help Evaluate or Manage

  • Dementia

  • Mild cognitive impairment

  • Parkinson’s disease

  • Stroke or TIA

  • Neuropathy

  • Seizure disorders

  • Migraine

  • Multiple sclerosis

  • Chronic dizziness or balance disorders

  • Other chronic neurological conditions when clinically appropriate

Services and How They Help

Dementia and Caregiver Support

For dementia and cognitive disorders, chronic care management may help monitor behavior, mood, sleep, safety, medication use, caregiver concerns, and functional changes. When appropriate, VerityMD can coordinate with a GUIDE program provider for caregiver support and care navigation.

How this helps:

  • Supports caregivers and patients between visits

  • Improves communication and planning

  • Helps identify safety concerns earlier

Parkinson’s Disease Support

For Parkinson’s disease, chronic care management may help monitor tremor, stiffness, slowness, walking, falls, swallowing, mood, sleep, memory, hallucinations, dizziness, and medication timing.

How this helps:

  • Tracks symptom progression

  • Supports medication coordination

  • Improves communication with caregivers and therapists

Stroke and TIA Support

For stroke and TIA, chronic care management may support medication adherence, blood pressure and cholesterol goals, fall-risk concerns, therapy coordination, cognitive symptoms, and vascular risk reduction.

How this helps:

  • Supports prevention plan follow-through

  • Monitors recovery concerns

  • Coordinates with primary care and other clinicians

General Neurology Care Coordination

Chronic care management can help with symptom tracking, test follow-through, medication questions, and coordination with other treating clinicians.

How this helps:

  • Provides support between visits

  • Helps patients follow the treatment plan

  • Identifies concerns before they become urgent

When Chronic Care Management May Be Helpful

  • Chronic neurological diagnosis requiring ongoing monitoring

  • Multiple medications or care teams

  • Caregiver concerns

  • Safety concerns such as falls, wandering, driving, or medication management

  • Need for support between visits

What to Bring or Have the Referring Office Send

  • Referral from PCP, specialist, or referring provider

  • Medication list, including over-the-counter medications and supplements

  • Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available

  • Caregiver contact information when appropriate

  • Current care plan, therapy notes, and recent test results

Important Note

This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.

Emergency Symptoms

Call 911 or go to the nearest emergency department for:

  • Sudden weakness, facial droop, trouble speaking, or new vision loss

  • Severe sudden headache or rapidly worsening neurological symptoms

  • Loss of consciousness, seizure, chest pain, or severe shortness of breath

  • New inability to walk or sudden severe dizziness with stroke-like symptoms

New Patient Referrals

VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.

Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.

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