Chronic Care Management Services | WeCare Practice Partners

About CCM (Chronic Care Management)

Chronic Care Management services is a specific set of Care Management Services CMS began promoting in 2015 after embracing the concept that “An ounce of prevention is worth a pound of cure”. Further, CMS found that Chronic Care Management services simply KEEPS PATIENTS OUT OF THE HOSPITAL and in the Physicians care. CCM is intended to include all of the not-in-person and behind the scenes work which happens in between provider visits.

Yet, less that 20% of all qualified Medicare beneficiaries are enrolled in this all important program.

The overall goal of CCM is to promote good health while reducing costs.

Your medical team will be able to bill Medicare for a wide range of additional tasks that benefit you and your patients. One of the most reassuring benefits is that your patients will be able to reach your care management team 24 hours a day, seven days a week to discuss any urgent needs.

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Other CCM services include:

Coordinating information and referrals between your entire medical team

Refilling prescriptions

Symptom management

Patient health education

Preventative health counseling

Community resource referrals

Interventions to reduce risk factors for falls

Coordinating social support services such as access to food, shelter, and transportation

Eligible CCM patients will have multiple (2 or more) chronic conditions that are expected to last at least 12 months or until the patient’s death or that place them at significant risk of death, acute exacerbation or decompensation, or functional decline. These services aren’t typically face-to-face and allow eligible practitioners to bill at least 20 minutes or more of care coordination services per month.

Billing Codes

99490

Non-complex CCM is a 20-minute timed service provided by clinical staff to coordinate care across providers and support patient accountability.

99439

Each additional 20 minutes of clinical staff time spent providing non-complex CCM directed by a physician or other qualified health care professional (billed in conjunction with CPT code 99490)

99487

Complex CCM is a 60-minute timed service provided by clinical staff to substantially revise or establish comprehensive care plan that involves moderate- to high-complexity medical decision making.

99489

Is each additional 30 minutes of clinical staff time spent providing complex CCM directed by a physician or other qualified health care professional (report in conjunction with CPT code 99487

Examples of Chronic conditions:

Examples of chronic conditions include, but aren’t limited to

Alcohol abuse

Alzheimer’s disease and related dementia

Arthritis (ostearthritis and rheumatoid)

Asthma

Atrial fibrillation

Autism spectrum disorders

Cancer (breast, colorectal, and prostate)

Cardiovascular disease

Chronic kidney disease

Chronic obstructive pulmonary disease (COPD)

Depression

Diabetes

Let’s Get Started

Hello, I’m Allan Brandvein, founder and CEO of WeCare Practice Partners. I invite you to examine the benefits of including a Comprehensive Care Management Program in your practice. Whether you have the physical space and the staffing to add a Care Management Department to your existing operation or you’d like to consider a turnkey managed solution, we’re here to help you set yourself up for success!  Feel free to reach out to find out how we can help.

– Allan

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