Chronic diseases are increasing exponentially all around the USA. According to the study, around 60% of Americans are the victims of chronic health illnesses, while 40% of US citizens hold more than one chronic disease.
It is, without any doubt, important information, as chronic diseases are found to be the leading cause of death among Americans. Luckily, a chronic care management program is a way to increase the care quality among patients who have been holding on to these long-lasting illnesses for years.
Many health insurance providers, such as Medicare, offer CCM coverage. Patients who are bearing one or more chronic diseases can enroll themselves in multiple CCM programs. If you think you are one of those people, take a moment to look at these essential benefits of CCM programs that can be helpful for you in the long term.
CCM, or Chronic Care Management, pertains to the ongoing supervision of patients dealing with chronic medical conditions such as diabetes, heart disease, and cancer. The primary objective of CCM is to enhance the quality of care and health outcomes for individuals with chronic ailments through the delivery of comprehensive, well-coordinated, and tailored healthcare services. These services may encompass regular check-ins, medication oversight, care strategizing, and patient education to effectively manage their health and avert complications.
As outlined by the Centers for Medicare and Medicaid Services (CMS), there exist specific prerequisites for participation in CCM. Several of the essential criteria encompass the following:
Patient Eligibility: The patient should exhibit a minimum of two or more chronic conditions anticipated to persist for at least a year.
Consent: The patient must furnish written consent, indicating their agreement to receive Chronic Care Management services. This consent should also encompass the management of their chronic ailments and the utilization of electronic health records (EHRs).
Minimum Time Requirement: Clinical staff, including registered nurses, licensed practical nurses, medical assistants, and others, should furnish care management services for a minimum of 20 minutes per month.
Comprehensive Care Plan: The care plan must be all-encompassing, addressing all of the patient’s chronic conditions, medications, allergies, and other pertinent health factors.
Care Coordination: Effective care coordination entails overseeing the patient’s healthcare across various providers and healthcare settings.
Use of EHRs: The patient’s electronic health record (EHR) should be leveraged for delivering care management services and documenting the care dispensed.
One of the numerous advantages of CCM lies in the creation of novel net revenues. When we combine the direct CCM reimbursement with additional income from fresh office visits and other services throughout the year, each actively engaged patient in CCM can yield over $500 in additional revenue per annum.
Even more noteworthy is the potential long-term value derived from devoted patients, which can surpass one million dollars. A proficient chronic care management program facilitates the cultivation of a group of dedicated patients. However, this necessitates more than scoring high on patient satisfaction surveys.
Loyalty is founded on trust that stems from consistently meeting a patient’s care needs, surpassing or meeting their expectations, and delivering an overall positive experience. This entails two key elements:
Chronic illnesses incur substantial treatment expenses and contribute significantly to healthcare expenditures. CCM, through proactive and preventive care, can assist in reducing healthcare costs associated with hospitalizations, emergency department visits, and other costly treatments.
An external study’s findings indicate that this approach can substantially curtail utilization and costs. Clients of 360HealthTek have also demonstrated that increased patient interactions directly translate into elevated MIPS scores and improved Medicare Advantage HEDIS scores.
Providers and in-office staff benefit from their ability to channel care management efforts toward their highest-risk patients. They also appreciate that remote nurses can enhance medication adherence, keep patients on their care plan, diminish facility-based utilization, and address inquiries before they escalate into inbound calls to the practice.
At 360HealthTek, our virtual care platform is versatile, designed to address various needs. It combines the benefits of remote patient monitoring and chronic care management. Get in touch with us today to discover how our expertise can benefit your organization.
Chronic Care Management, or CCM, is a beacon of hope in healthcare. It forges a unique partnership between patients and their care teams, empowering individuals to understand their conditions and make transformative lifestyle changes. CCM is not just vital; it’s the embodiment of empathy, making it an indispensable cornerstone in the pursuit of well-being.
Here are some intriguing facts about Chronic Care Management (CCM).
• CCM improves care for chronic conditions.
• It reduces healthcare costs.
• Tailored care plans for patients.
• Remote monitoring with technology.
• Medicare supports CCM.
• Better patient outcomes.
CCM emerged in response to rising chronic diseases in the late 20th century. Medicare introduced CCM reimbursement in the early 2000s, making it a vital part of modern healthcare, focusing on ongoing, patient-centered care.
Chronic care management CPT code: 99490
This code is used to report the time spent coordinating care for a patient with multiple chronic conditions. Services include developing and monitoring a care plan, communicating with other healthcare providers, and providing support and education to the patient.
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