On January 1, 2015, Medicare, under CPT Code 99490, began paying separately for non-face-to-face care coordination services provided to Medicare patients with 2 or more chronic conditions. You can bill $38.86 per patient every month for 20 minutes of “contact initiated” based chronic care management which may include any contact about or regarding the patient by phone or electronic communications like email.
The revenue from this service can add up quickly!
If your practice has 500 patients enrolled, you could be billing nearly $250,000 annually. Unfortunately, the time required to manage the program can add up just as fast, which is why Chronic Care Staffing was created.
We make it easy for you to increase your bottom line, not the number of patient visits
We help you get paid for Chronic Care Management. Here’s How:
Identify your patients that qualify
CPT outlines that qualified Medicare patients should have “2 chronic continuous or episodic health conditions that are expected to last at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline”. Our staff helps you classify your patient base, and begin the information and enrollment process.
Notify and Enroll
Our fully compliant process uses your certified EHR to explain the details of the service to patients, inform them of their eligibility and any cost-sharing, and procure a signed patient agreement.
Manage and Document Care
Chronic Care Staffing’s experienced nurses and care coordinators remotely connect with patients and other care providers to improve patient health, and document interactions within your existing EMR. Services include regular development and revision of a plan of care, communication with other health providers, and medication management. We work as a seamless extension of your practice, even calling patients from a number identified with your practice name.
Bill Medicare for Services and Grow Your Practice Revenue
Following CPT 99490 requirements, we ensure that the 20 minutes of care are provided, that billing only occurs once in a 30 day period and only by one provider, and that services are not billed for in-person encounters.
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