Evidence Base Case Management
The Centers for Medicare & Medicaid Services recognizes Chronic Care Management as a critical component of primary care that contributes to better health and care for individuals.
● Manage patients with two+ chronic conditions.
● Improve Medical Decision Making with actionable data.
● Typically qualify 2/3 of Medicare patients (500 per physician average)*.
● Earn approximately $255,000 / year additional reimbursement (typical practice).
Our Job is to make Chronic Care Management Easy:
We will identify patient that have Two or more chronic conditions
We will obtain Patient consent (verbal or signed)
We will Personalized care plan in your certified EHR and a copy provided to patient App
24/7 patient access to a member of the care team( RN, Pharmacist) for urgent needs
Our Care Management Platform will Enhanced non-face-to-face communication between patient and care team
Management of care transitions
Management of referrals to other providers
Management of prescriptions
Ongoing review of patient status
Code Descriptions
- CPT 99490 – $41
- 20+ minutes of care management outside of office visits performed by clinical staff
- CPT G2058 – Non-complex Add-on 38
- Additional 20 minutes of “non-complex” CCM
- CPT 99487 – Complex CCM$92
- 60+ minutes or more of clinical staff
- CPT 99489 – Complex Add-on $44
- each additional 30 minutes spent beyond the first 60 minutes for Complex CCM case
- CPT 99491 – CCM $82
- 30+ minutes of care management outside of office visits
- Provided personally by a physician or other qualified healthcare professional
G0506 – Comprehensive Assessment & Care Planning $62
- Patient enrolled in person
- Systematic assessment & care planning personally performed by the billing provider
- Add-on code to the standard E&M code (99212-99215), AWV or IPPE initiating visit
Ready to ramp up your revenue potential? Contact us today.