Things to Consider Before Starting a CCM Program

Posted by Mark Nalywajko

Apr 22, 2016 11:00:00 AM

One-on-One with Amy Gleason: Part 2

There is a lot to seriously consider before you jump right in to administering your own Chronic Care Management (CCM) program. Compliance should be at the very top of your must-have list. After CMS gets it off the ground, they will start enforcing its requirements like nobody’s business, then dish out the fines for those who are not compliant. Many providers will also need to decide if they have the manpower to administer the program themselves, or if they want to partner with a CCM provider.

Beware the bargain hunters that are looking for extreme deals, in order to reduce costs. Corners will be cut, and cheap programs risk compliance with CMS resulting in potential fines. Finally, providers need to find the best way to integrate CCM with their practice EMR. Finding a custom solution instead of a one size fits all bargain basement product, is certainly a challenge. In Part 2 of a special series, RN, Co-Founder and Chief Operating Officer of CareSync, Amy Gleason, answers questions that will help providers overcome these challenges.

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Topics: chronic conditions, medical records, chronic care management (CCM), Medicare, care coordination, physicians & providers, CCM compliance, CPT code 99490, physician fee schedule (PFS)

CareSync Shares CCM Insights in Letter to Senate’s Chronic Care Working Group

Posted by Travis Bond

Feb 1, 2016 4:55:17 PM

CareSync Founder and CEO, Travis Bond, uses year of CCM data to help patients receive better care and services.

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Topics: chronic conditions, patient advocacy, Travis Bond, chronic care management (CCM), Medicare, care coordination, patients, CPT code 99490, CareSync company updates

Put Medicare's Chronic Care Management Billing Code to Work for You and Your Patients

Posted by The CareSync Team

Nov 2, 2015 1:24:00 PM

Procrastination's a funny thing: suddenly all of your other work seems so much more important than that one fearsome task you've been putting off.

Hardworking primary care doctors, medical practices, hospitals, managers and administrators who haven't yet started using Medicare's new Chronic Care Management billing code - CPT 99490 - - we're talking to you! 

The code is a great way to improve care for Medicare patients with two or more chronic illnesses, while boosting patient satisfaction and medical practice workflow and providing doctor and patient 24/7 access to regularly updated care plans and medical records, with the option for administrative help from third-party providers.

Sounds expensive, but it's not: CareSync, the market leader in Chronic Care Management services for healthcare providers, patients and caregivers, charges less than Medicare's reimbursement level. 

You really need to do this!  But we totally get why you haven't.  The language of CPT 99490 doesn't make for easy reading.  Lucky for you, we've got a handy guide to each section of the code, complete with translations from gov-speak into language that makes sense to any medical professional, medical practice manager or administrator.

Better Chronic Care Helps Everyone

The Centers for Medicare and Medicaid Services (CMS.gov) put out this code as a way to help care for chronic illnesses, and it's a smart move: 85% of the healthcare spend goes to treating chronic illnesses, and two-thirds of Medicare dollars are spent on patients with 5+ chronic conditions. Chronic illnesses are common, and very costly.

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Topics: chronic care management (CCM), Medicare, care coordination, reimbursements, physicians & providers, healthcare costs & insurance, CPT code 99490, physician fee schedule (PFS)

Lessons Learned in Year 1 of Chronic Care Management

Posted by Travis Bond

Nov 2, 2015 8:00:00 AM

We always love the opportunity to talk about CCM with smart people. That’s why we were incredibly excited when Kareo invited us to host a CCM-focused #KareoChat last week, specifically, around what we’ve learned now that we’re most of the way through the first year of CPT Code 99490.

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Topics: Travis Bond, chronic care management (CCM), reimbursements, CPT code 99490, CareSync company updates

More Doctoring, Less Documenting: Medicare's Chronic Care Management Made Easy

Posted by The CareSync Team

Aug 21, 2015 11:53:00 AM

Doctors, medical practice administrators: you've probably heard by now about the Chronic Care Management billing code from The Centers for Medicare & Medicaid Services (CMS). It's overwhelmingly likely that you are already providing care coordination services for Medicare patients with two or more chronic conditions.

It's also likely, unfortunately, that you still haven't figured out how to get paid for it. Medical practices really can participate in Medicare's Chronic Care Management program and improve patient care without drowning in added paperwork and red tape.

Here's what you need to know to get started:

The Billing Code .Medicare's Current Procedural Terminology (CPT) code 99490 pays, on average, $43 per month to health care providers who deliver 20 or more minutes of non face-to-face chronic care coordination (among other requirements) to eligible Medicare beneficiaries with 2 or more chronic conditions.

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Topics: chronic care management (CCM), Medicare, care coordination, reimbursements, physicians & providers, CCM compliance, CPT code 99490

Free Webinar: Chronic Care Management Reimbursement

Posted by Courtney Larned

Apr 9, 2015 8:10:14 AM

We're now well into the 4th month of the new CMS initiative for Chronic Care Management (CCM), and while some practices have embraced the complexities of CPT 99490, many of you still have a lot of questions. Join us for our free, upcoming educational webinar to get those questions answered, and be prepared to kick off your own CCM program.

 

Mark your calendars!

Chronic Care Management Reimbursement

Wednesday, April 22, 2015
1 p.m. ET

 

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Topics: webinars, chronic care management (CCM), physicians & providers, CCM compliance, CPT code 99490

Improve Patients' Health with Chronic Care Management

Posted by Courtney Larned

Feb 2, 2015 8:30:00 AM

Chronic diseases and conditions, including heart disease, diabetes, COPD and obesity, are among the most common, expensive, and preventable health problems in the United States. About half of the adults in America, 117 million people, have at least one chronic condition.

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Topics: patient engagement, chronic care management (CCM), mHealth, physicians & providers, CCM compliance, CPT code 99490, infographics

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