Chronic Care Management

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A Dedicated Care Manager to Help Your Practice Maximize Reimbursements

Altarum’s Chronic Care Management (CCM) service enables physicians to take advantage of the recently updated Medicare billing requirements for CCM services. In 2015, Medicare began issuing a separate payment for CCM services under CPT Code 99490 for 20 minutes of non-face-to-face care coordination for Medicare patients with two or more chronic health conditions. In January 2017, Medicare introduced additional codes covering care management for more complex patients, additional time spent with patients, and the development of electronic care plans. Altarum is currently enrolling interested providers and practices in this new service. Special discounted pricing will be offered to early adopters. Joining the program provides your practice with a dedicated, experienced, and thoroughly vetted Care Manager who has extensive familiarity with the new billing codes. The Care Manager works within your practice helping fulfill CMS criteria in order to maximize reimbursement potential.

Altarum’s Care Manager can provide the following:

  • Monitor the patient’s condition and update chronic care management as needed
  • Perform ongoing medication adherence and reconciliation
  • Oversee patients’ self-management of medications
  • Ensure patients schedule preventive services
  • Educate patient and/or caregivers regarding the chronic conditions
  • Facilitate routine appointment scheduling and reminders
  • Follow-up with the patient after an ER visit
  • Provide post-discharge services as necessary
  • Coordinate referrals with other clinicians and share clinically relevant information with them electronically
  • Coordinate with home and community base clinical service providers to meet the patients social needs and functional deficits
  • Document all of these communications as stated in your respective EHR Systems

Please see the CCM Case Study fact sheet for more information.

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