Chronic Care Management and Connected Care

Over 117 million adults suffer from one or more chronic health conditions, and one in four suffer from two or more chronic health conditions. In the Connected Care campaign, the CMS Office of Minority Health and the Federal Office of Rural Health Policy at the Health Resources & Services Administration will promote the benefits of CCM for patients with multiple chronic conditions and provide resources to healthcare professionals for implementation.

Care coordination services are provided outside of regular office visits for patients with two or more chronic conditions that are expected to last at least 12 months, or until death, or that place the patient at significant risk of death, acute exacerbation, or functional decline. The care coordination services are typically not face-to-face and eligible practitioners can bill for at least 20 minutes of coordination per month.

Your support is crucial to raising awareness about CCM services, as millions of Americans suffer from chronic health conditions. By offering CCM services, health care professionals can provide coordinated care to patients and help patients stay on track by providing support between appointments.

Health Care Professionals Eligible to Bill for CCM

CMS recognizes that providing chronic care management requires additional time and resources. For this reason, they have established distinct billing codes to compensate for the help you provide to your Medicare and dual-eligible patients between appointments in order to ensure they are following their treatment plans and striving for optimal health. These services can be billed according to CMS guidelines.

1. Critical access hospitals (CAHs)
2. Clinics for rural health (RHCs)
3. FQHCs are federally qualified health centers
4. In addition to physicians, there are certain non-physician practitioners (physician assistants, clinical nurse specialists, nurse practitioners, and certified nurse midwives).
5. Related Collections

Overview of Chronic Care Management (CCM)

The goal of chronic care management (CCM) is to improve the quality of life of patients. A better patient experience and better outcomes. The Centers for Medicare & Medicaid Services (CMS). CMS acknowledges that providing CCM services requires time and effort.

You will be paid under billing codes for the additional time and resources you spend providing between-appointment assistance to your Medicare and dual-eligible (Medicare and Medicaid) patients. Keep track of their treatments and make a plan for better health. It is possible to bill CCM codes for services provided to patients with two or more chronic conditions. There is a significant risk of death, acute exacerbation or decompensation, or functional decline for two thirds of these patients.

There are many people with Medicare who have two or more chronic conditions, which means many of them are your patients. You can benefit from CCM services, including the help provided between visits.

Provide coordinated care to your patients to improve their health, increase satisfaction with their care, and reduce healthcare costs, provide more person-centered care.

What is CCM?

Care Coordination Management (CCM) services are now available to those with multiple chronic conditions that are expected to persist for at least a year or until death. This type of care is necessary for those at high risk of deteriorating, including death, acute exacerbation or decreased functioning. Medicare has allowed practitioners to bill this, provided they have spent 20 minutes on such coordination in a month; this could be done by clinical personnel, with a physician or other qualified health care professional overseeing the activities intended to oversee and manage the patient’s care.

Connected Care

A new policy has been adopted by the Centers for Medicare & Medicaid Services (CMS). In order to improve payment and access to chronic care, separate billing codes should be used. Services for Medicare beneficiaries with two levels of care management (CCM). Chronic conditions can be more serious. Separate payments are available to health care professionals. To improve Medicare patients’ self-management, health outcomes, and satisfaction while providing important services.

Using the chronic care management payment codes, practices can be reimbursed separately for important services. Patients with two or more Medicare Fee-For-Service prescriptions are eligible for it. Conditions that are chronic. Patients will benefit from a team of dedicated health care professionals. They can plan for better health and stay on track with the help of services such as

1. They can benefit from monthly check-ins and ready access to their care team
2. Improve their care coordination by connecting the dots.
3. Your business may be missing out if you don’t offer CCM services
4. Providing connected care to Medicare patients

While simultaneously growing your practice, you can achieve everything you want.

Health Care Professionals Eligible to Bill for CCM

The following health care professionals can bill for CCM services: physicians, clinical nurse specialists, nurse practitioners, and certified nurse midwives. CCM services may also be billed for by Federally Qualified Health Centers, Rural Health Clinics, and Critical Access Hospitals. Only one practitioner may be charged for CCM services in a given month.