What is chronic care management?

Chronic Care Management (CCM) is defined by the Centers for Medicare and Medicaid Services (CMS) as coordinating care for patients with multiple chronic conditions outside regular office visits. These conditions are expected to last at least 12 months or until the patient passes away.

What are the benefits of chronic care management?

CCM helps practices create personalized care plans, improve adherence to care guidelines, streamline documentation, and support a more efficient billing workflow. The goal is to improve outcomes, reduce complications, and stay aligned with CMS requirements.

How does chronic care management work?

CCM typically includes patient enrollment, creation of a care plan, ongoing monthly care coordination and patient communication, and accurate documentation for billing and reimbursement.

What services are included in chronic care management?

CCM services can include identifying chronic conditions, developing care plans, coordinating referrals, reviewing results, medication support, documenting monthly communication time, and recording billable actions for compliance.

What are Chronic Care Management CPT codes?

CCM CPT codes are billing codes used to report chronic care management services. Common codes can include 99490, 99439, 99487, 99489, 99491, and related codes, depending on the service level and time.

How do Chronic Care Management CPT codes work?

Practices use CCM codes to bill for specific care coordination services based on eligibility, documented activities, and time thresholds. Proper documentation supports accurate reimbursement and transparency for the care delivered.

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Increase Commercial Value With RPM & CCM: A Data-Driven Approach

Post author:Mario Erlach
Post published:January 25, 2023
Post category:Practice Growth & Profitability Program Overview & Compliance Reimbursement & CMS Policy Various Topics on RPM and CCM Solutions
Reading time:4 mins read

Population health is a key aspect of primary care, and it involves understanding and addressing the health needs of the specific populations that primary care practices serve. As healthcare shifts towards value-based reimbursement models, primary care practices have an opportunity to monetize population health by improving patient outcomes and reducing costs.

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Increase Commercial Value With RPM & CCM: A Data-Driven Approach

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