Chronic Care Management Reimbursement - PowerPoint PPT Presentation

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Chronic Care Management Reimbursement

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CPT 99490 is the beginning of a step in the right direction. Apart from the reimbursement, the benefit for physicians also includes to check on patients every month. Log on – PowerPoint PPT presentation

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Title: Chronic Care Management Reimbursement


1
Chronic Care Management Reimbursement
www.chronicwatch.com
2
Physicians Can Earn More with CCM
There are not enough providers that pay
attention to 99490. The unveiling of CPT Code
99490 by Centers for Medicare and Medicaid in
2016 was looked as a first step towards
compensating providers for the use of
telemedicine in the treatment of chronic care.
Most physicians are having trouble in managing
care for patients outside the office. Burgeoning
chronic care management services in USA are in
the market and are willing to help suppliers who
do not have the time or resources to connect all
the points.
www.chronicwatch.com
3
Medicare guidelines to cover CPT 99490 include
At least 20 minutes of non-face-to-face chronic
care management services per calendar month
including establishing, implementing, revising
and monitoring patients' care plans for patients
with two or more chronic conditions.   The
chronic conditions must be one of the CMS's
observed 27 chronic conditions, must be expected
to last for at least a year or until the death of
the patient if that projected date is less than
12 months.   Also without proper management, the
conditions must significantly jeopardize the
patient's health, putting them at risk of
functional decline, exacerbated health risks, or
death.
www.chronicwatch.com
4
CPT 99490 is the beginning of a step in the right
direction. Apart from the reimbursement, the
benefit for physicians also includes to check on
patients every month. It allows doctors to have a
connection with patients, which is beneficial
because most patients do not even go to their
annual wellness visits because of their chronic
conditions. By reimbursing clinicians for CCM
services government is acknowledging the
importance of 99490 and chronic care conditions.
This at the same time brings into focus
telehealth.   For the first time ever through CPT
99490 Medicare allows physicians to bill
separately and get reimbursed.   Medicare has
started to reimburse CPT 99490 specifically
helping physicians to better manage patients with
multiple chronic conditions. An overwhelming 32
of our population accounts for healthcare
services such as prescriptions fills, home
healthcare visits, office visits and the vast
majority of general healthcare and Medicare
spending as well.
www.chronicwatch.com
5
CMS will not stop with 99490.   CPT 99490 was
developed after a series of successful
transitional care and telehealth demonstrations
and CMS is looking at different technologies.
They are looking to expand the qualifications for
reimbursement under CPT Code 99490 and create new
opportunities to reimburse providers for using
remote patient monitoring technology.   Growing
clinical evidence suggests that interoperable
remote surveillance improves care, reduces
hospitalization, complications, and improve
satisfaction for the sick.   Even though the
reimbursement for 99490 is a step in the right
direction, it is too difficult for most
physicians to use this code and hence making this
a case for comprehensive chronic care management
program.
www.chronicwatch.com
6
It is said that an ounce of prevention is better
than a pound of cure.  If you have Medicare
patients that have 2 or more chronic conditions,
then Medicare reimburses you to help these
patients to prevent these chronic illnesses
exacerbating into serious conditions because
Medicare would like to keep these patients out of
the hospitals and save thousands of dollars. 
Hence, Medicare has started a simple care
management program introducing CPT 99490 allowing
physicians to generate additional revenue using
the Medicare Reimbursement CPT 99490.   Chronic
Watch has ready to use remote patient monitoring
software which is HIPAA compliant, cloud based,
and all it takes for you to get started is to say
- yes!    You only pay based on what you get
paid, No upfront investments, No operational
costs, No hidden fees.  
www.chronicwatch.com
7
 Excited? Call us on  866-690-3995 x 703
We would be happy to send over a sales rep to
your office.
  Regards, ChronicWatch Inc. 4880 Lower Roswell
Road, Suite 165-238 Marietta, GA 30068 Corporate
Office (866)-690-3995 p.s. For your convenience
here are some quick facts. Phone 866-690-3995,
Email sales_at_chronicwatch.com,  
Website www.ChronicWatch.com
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