Chronic Care Management Solution

chronic care
Two out of three Medicare beneficiaries have multiple chronic conditions. About one out of three medicare patients have four or more chronic conditions. Billions of dollars are being spent to improve health conditions of this chronic population. Introduction of CPT 99490 triggered technology enhancements to manage chronic population and incentives from Medicare.
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Brief on Medicare’s Chronic Care Management Program:

Who Qualifies:

  • Patients covered under Medicare
  • Diagnosed with two or more chronic conditions (Diabetes, Hypertension, Asthma, and many more) that lasts for at least 12 months or more 

CCM Reimbursement Criteria

  • Eligible Practitioners:
    • Physicians
    • Certified Nurse Midwives
    • Clinical Nurse Specialist
    • Nurse Practitioner
    • Physician Assistance
  • Only one Practitioner will be paid for CCM services (CPT 99490, 20 minutess or more of non-face to face consulting service) for a given calendar month
  • Providers can also leverage secure video conferencing platform for CCM service

Other important details:

  • Other important details:
  • Provider should be using a certified EHR system
  • CCM program is available through traditional and Medicare advantage
  • Patients should consent and then enroll in the program
  • Reimbursement per patient per month is $42.91

For more info on Medicare’s chronic care management program, check out this  FAQ / Medicare CCM Program

Chronic Care Management Workflow

Faichi’s Chronic Care Management (CCM) solution accelerator is a perfect blend of industry and technology expertise. The solution offers pre-built business logic for chronic condition management and reimbursement. We assist in creating a custom user interface based on wireframes of the host application / platform. Complete solution can be implemented within 12 to 16 weeks. CCM solution can be customized to provide enhanced patient care. 

For features and quick quote write to us at sales@faichi.com.

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