Generate More Annual Revenue with the MediTouch Chronic Care Management Module
Take advantage of the chronic care management program, an opportunity to be rewarded for the hard work that you already do for your patients, outside of office visits.
As of January 2015, the Centers for Medicare & Medicaid Services (CMS) authorized a chronic care management program, under which providers could bill approximately $42 (depending on locality) for providing 20 minutes of non-face-to-face, follow-up chronic care activity per chronically ill patient, per 30-day period. Providers can bill for chronic care services under CPT code 99490.
Chances are, many of your senior patients have two or more chronic conditions and you’re already managing their care. Now you can get paid for it. And if you’re participating in programs like Meaningful Use and Patient Centered Medical Home, you’re already meeting some of the requirements – adopting the chronic care management program into your business model won’t be a very drastic change.
In order to bill for CPT code 99490, you’ll need to:
Identify and recruit your chronically ill patients. The MediTouch Chronic Care Management (CCM) module will help you easily identify patients with more than one chronic disease and track the services you’ve provided for them. You’ll need to inform these patients that only one practitioner can furnish and be paid, that they can terminate at any time, that Medicare co-insurance amount applies to these services, and explain the type of care they’ll be receiving. You’ll be able to begin tracking the chronic care activity you’re providing them immediately.
Create a patient-centered care plan document. You’ll find care plans within our software, ensuring that each patient will receive the type of care that’s compatible with his or her choices and values. You’ll provide a written or electronic copy of this plan to each patient.
Provide a minimum of 20 minutes of non-face-to-face chronic care management per 30 days. These services cannot occur during a routine encounter.
Provide 24/7 access to CCM services. Patients should have a means to make timely contact with health care providers to address any of their chronic care needs.
Make sure each patient has continuity of care with a designated practitioner or member for the care team, and is able to obtain successive appointments with them. Both physicians (MDs and DOs) and non-physicians (Certified Nurse Midwives, Clinical Nurse Specialists, Nurse Practitioners and Physician Assistants) can be the designated practitioner – but only one practitioner may be paid for CPT code 99490 for a given calendar month.
Manage care transitions between and among providers and settings.
Coordinate with home and community-based clinical service providers as appropriate.
Offer each patient and relevant caregiver enhanced opportunities to communicate with you and your team.
Chronic care management services include:
- Systematic assessment of patient’s medical, functional and psychosocial needs.
- System-based approaches to ensure timely receipt of all recommended preventive care services.
- Medication reconciliation with review of adherence and potential interactions.
- Oversight of patient self-management of medications.