WE MAKE CCM EASY
utilizing personal Smartphone, tablet, computer OR land line
CCM is the care coordination that is outside of the regular office visit for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient. Medicare has decided to tackle the challenges of chronic diseases by provisioning care its fee-for-service (FFS) model, where CPT codes would be used to reimburse chronic care by physicians. The reimbursable program is comprised of two components:
REMOTE PHYSIOLOGIC MONITORING (RPM)
E/M codes billed by a Provider for collection of data transmitted to healthcare providers.
At least 16 data points per 30 days (ie: BP, O2, HR, Wt., etc.)
Automated data capture electronically (ie: Bluetooth, WiFi)
At least 1 monthly video or phone call
Can be delivered incident to general supervision of billing provider
CHRONIC CARE MANAGEMENT (CCM)
E/M codes billed by a Provider for Care Coordination delivered outside of the regular office visit.
At least 2 or more Chronic Conditions
24/7 Access to Care
Ongoing Care Plan Customization & Revision per Practitioner Oversight
Medication Management
Benefits to CHL’s Shared Revenue Solution
Turnkey RPM and staff solution exceeds reimbursement guidelines
Pre-built CCM Workflow and Reporting
Live 24/7 Response and Access to Care
Ongoing Care Plan Customization and Revision per Practitioner Oversight
Optional billing and coding
CODE | DESCRIPTION | REIMBURSEMENT | CHL SOLUTION | OTHER RPMs |
---|---|---|---|---|
99453 | RPM Set-Up & Patient Education | ~$18.80 | Included | Not Included |
99454 | RPM Med Device Recordings for at least 16 out of 30 days | ~$61.90 | Included | Not Included |
99457 | Non-face-to-face Interactive Communication: 20 min/month | ~$50.94 | Included | Not Included |
99458 | Additional 20 minutes of care | ~$41.17 | Included | Not Included |
99490 | First 20 min of non-complex CCM & 24/7 access to care | ~$41.17 | Included | Not Included |
99439 | Additional 20 min of non-complex CCM | ~$37.94 | Included | Not Included |
99487 | First 60 min for complex care & 24/7 access to care | ~$91.77 | Included | Not Included |
99489 | Additional 30 min for complex care | ~$43.97 | Included | Not Included |