Chronic Care Management
The New Way to success. advance. progress.
The Centers for Medicare & Medicaid Services (CMS) has adopted separately billable codes to improve payment and access to chronic care management (CCM) services for Medicare beneficiaries with two or more serious chronic conditions. Bill CCM Code 99490 Monthly
Health care professionals have an opportunity to be separately paid for important services while improving your Medicare patients’ self-management, health outcomes, and patient satisfaction.
What is CCM?
Chronic Care Management (CCM) services by a physician or non-physician practitioner (Physician Assistant [PA], Nurse Practitioner [NP], Clinical Nurse Specialist [CNS], Certified Nurse-Midwife [CNM]) and their clinical staff, per calendar month, for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline. Only 1 practitioner can bill CCM per service period (month).
CPT Codes
By using the CCM codes below, your practice can be separately reimbursed for important care management services that it provides to fee-for service Medicare patients with two or more chronic conditions that are expected to last at least 12 months and place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.
The included services are:
Cerified EHR
Use of a meaningful use 2014 Certified Electronic Health Record (EHR).
Continuity of Care
Continuity of Care with Designated Care Team Member
Plan Management
Comprehensive Care Management and Care Planning
Transitional Care Management
Ability to transfer medical data as C-CDA's which is a lot more than just a PDF
Care Corordination
Coordination with Home- and Community-Based Clinical Service Providers
Accessibility
24/7 Access to Address Urgent Needs
Enhanced Communication
Email, Web portal and mobile communication to update patient charts and status)
Consent and Campaign Management
Easy to identify patient and get consent signed.Campaign tools help the practice manage consents.
Dashboard
Customizable dashboard to analyze CCM performance