Qualifications: Any patient who has two of more qualifying Chronic Medical Conditions. These chronic conditions are expected to last for more than 12 months or until death.
What is Chronic Care Management? (CCM)
Chronic Care Management (CCM) is a healthcare program that helps people with long-term health conditions get the support they need to manage their health better. It involves a team of healthcare professionals working together to provide personalized care and support for individuals with chronic conditions like diabetes, heart disease, or arthritis.
In CCM, healthcare providers coordinate with each other to create a care plan tailored to the individual's specific needs. They regularly check in with the patient, either through phone calls, video chats, or in-person visits, to see how they are doing, answer their questions, and provide guidance.
CCM also focuses on educating patients about their condition, teaching them how to take care of themselves, and helping them make healthy lifestyle choices. It may involve things like helping patients manage their medications, providing tips for exercising or eating well, and offering emotional support.
The goal of chronic care management is to improve the patient's health and well-being, prevent complications, and help them live a better quality of life despite having a chronic condition. By providing ongoing support and guidance, CCM aims to make it easier for patients to manage their health and stay on top of their care.
BILLING FOR MEDIREMOTE CHRONIC CARE MANAGEMENT
| CPT Codes | Description | Estimated Reimbursement |
|---|---|---|
| 99490 | Patient receives 20 minutes of communication for the month for CCM services. | $62 |
| 99439 | Patient receives additional 20 minutes of communication for the month for CCM services. | $47 |
| Grand Total |
$109 |
POTENTIAL ANNUAL REVENUE
| 100 patients ($10,900) | 500 patients ($54,500) | 1000 patients ($109,000) |
