Current and Future Trends in CCM

Posted by The CareSync Team

May 26, 2016 9:16:21 AM

One-on-One with Amy Gleason: Part 3

In part 3 of a special series, Amy Gleason, RN, Co-Founder and Chief Operating Officer of CareSync, and Mark Nalywajko, VP of Client Solutions at CareSync, discuss the evolution of Chronic Care Management (CCM) since January 2015. What lessons have been learned and where do we think the future of CCM is headed?

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

From Disbelief to Dawning Reality: The Four-Stage Journey Providers Took Toward Embracing Code 99490

Posted by Travis Bond

May 10, 2016 11:29:24 AM

Stacey Richter, host of the popular podcast Relentless Health Value, recently referred to the first year of experience working with CPT Code 99490 as a four-stage process for providers: Disbelief, Shangri-La, Anger, and then Dawning Reality. While this critical time period certainly saw its share of ups and downs, what we learned along the way has been a real eye-opener, especially for those who embraced or are about to embrace the final stage.

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Topics: chronic care management (CCM), Medicare, care coordination, reimbursements, MACRA, CPT code 99490, physicians & providers, physician fee schedule (PFS), Merit-Based Incentive Payment System (MIPS), Travis Bond

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

How a Rare Disease Inspired the Creation of a Patient-Centric Healthcare Solution

Posted by Mark Nalywajko

Apr 15, 2016 9:19:52 AM

One-on-One with Amy Gleason: Part 1

You’ve often heard the phrase, "necessity is the mother of all invention." That couldn’t be more true for CareSync’s Co-Founder, Chief Operating Officer, and Registered Nurse, Amy Gleason. In Part 1 of a special series with Amy, she will share the personal story of her daughter’s rare condition that lead to the invention of CareSync: a clinical care coordination company that is focused on patient-centric solutions for people with chronic illnesses. Later in the series she will discuss the following components of chronic care management including: requirements, insights 15 months in, struggles, overcoming obstacles, trends, the true value of CCM, and where she believes the future of healthcare is heading.

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Topics: chronic conditions, chronic care management (CCM), care coordination, Medicare, CCM compliance, patients, patient advocacy, physicians & providers, rare diseases, juvenile dermatomyositis, family health, CareSync company updates

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, CPT code 99490, patients, 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, CPT code 99490, reimbursements, healthcare costs & insurance, care coordination, physicians & providers, physician fee schedule (PFS)

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, reimbursements, physicians & providers, CPT code 99490, CCM compliance, care coordination

How Much Revenue will Chronic Care Management Bring You?

Posted by Courtney Larned

Mar 23, 2015 8:00:00 AM

As we approach the end of the third month of the new Chronic Care Management code, it’s really hard not to reflect on the financial impact of the Medicare initiative.  And for nearly every provider we’re working with, it’s been significant. 

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Topics: chronic care management (CCM), care coordination, reimbursements, physician fee schedule (PFS), physicians & providers, Medicare

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